肝包虫病合并门静脉海绵样变性的研究进展

王茂林; 邵英梅

doi:10.3969/j.issn.1001-5256.2021.04.053

肝包虫病合并门静脉海绵样变性的研究进展

DOI: 10.3969/j.issn.1001-5256.2021.04.053

王茂林^a,
邵英梅^{a, b, ,}

a.
新疆医科大学第一附属医院肝胆包虫病外科，乌鲁木齐 830054
b.
新疆医科大学第一附属医院消化血管外科中心，乌鲁木齐 830054

基金项目:

国家自然科学基金地区科学基金项目 (8196080421)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：王茂林负责撰写论文；邵英梅负责指导撰写论文并最后定稿。

详细信息

作者简介:
王茂林(1995—)，男，主要从事包虫病临床研究

通信作者:
邵英梅，syingmei1@163.com

中图分类号: R657.3
计量
- 文章访问数: 363
- HTML全文浏览量: 79
- PDF下载量: 22
- 被引次数: 0
出版历程
- 收稿日期: 2020-09-29
- 录用日期: 2020-11-20
- 出版日期: 2021-04-20

Research advances in hepatic echinococcosis with cavernous transformation of the portal vein

Maolin WANG^a,
Yingmei SHAO^{a, b
, ,}

a.
Department of Liver Hydatid Disease, Urumqi 830054, China
b.
Digestive and Vascular Surgery Center, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China

摘要

摘要: 肝包虫病灶压迫侵犯门静脉可引起门静脉海绵样变性(CTPV)，其手术难度大，风险高，常规肝切除不能有效根治。简述了肝包虫病合并CTPV的病因、分型、临床表现、辅助检查，总结了其治疗策略。认为肝包虫病合并CTPV的治疗应在包虫病灶切除的基础上有效缓解门静脉高压，血管重建、离体肝切除和自体肝移植的应用在根治性切除方面发挥了重要作用。
- 棘球蚴病, 肝 /
- 门静脉海绵样变性 /
- 诊断 /
- 治疗学
Abstract: Compression by hepatic hydatid lesions may invade the portal vein and cause cavernous transformation of the portal vein (CTPV), which has difficulties and high risks in surgery, and conventional hepatectomy cannot achieve radical treatment. This article reviews the etiology, classification, clinical manifestations, and auxiliary examinations of hepatic echinococcosis with CTPV and summarizes the treatment strategies for this disease. It is believed that the treatment of hepatic echinococcosis with CTPV should combine the resection of hydatid lesions with the effective relief of portal hypertension, and revascularization and ex-vivo liver resection with auto-transplantation play an important role in radical resection.
- Echinococcosis, Hepatic /
- Cavernous Transformation of Portal Vein /
- Diagnosis /
- Therapeutics

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参考文献(35)

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