首 页   本刊简介  编委会  审稿专家  在线期刊  写作规范  广告合作  联系我们
您现在的位置:首页 => 在线期刊 => 2018年 10期 门静脉栓塞的基础与临床 => 专家论坛 =>门静脉系统血栓的外科诊疗
门静脉系统血栓的外科诊疗
Surgical diagnosis and treatment of portal vein thrombosis
文章发布日期:2018年09月10日  来源:  作者:张鹰,刘庆艳,李志伟  点击次数:318次  下载次数:52次

调整字体大小:

(此处下载失败可以在在线预览处保存副本或者右键另存为)

【摘要】:门静脉系统血栓是门静脉系统发生的血栓性病变,多种病因可导致门静脉系统血栓,因其发生部位、范围、堵塞血管程度及形成时间长短不同,临床表现各异,部分严重血栓可导致胃肠道淤血坏死、肝功能不全、食管胃底曲张静脉破裂出血、门静脉高压性胆道病,更甚者可危及生命。多普勒超声及腹部增强CT/MRI检查是诊断门静脉系统血栓的重要辅助检查方式,对于该疾病的早期诊疗、严重程度评估及指导针对性的治疗有重要意义。门静脉系统血栓因其严重程度不同,治疗方式方法各异,主要是针对门静脉系统血栓本身及其引起的并发症。对于存在肠道淤血坏死、部分门静脉高压症合并食管胃底曲张静脉破裂出血、脾肿大、脾功能亢进、门静脉高压性胆道病及终末期肝病患者须行外科手术治疗。综述了门静脉系统血栓的病因、临床表现、诊断及外科治疗进展。
【Abstract】:Portal vein thrombosis refers to thrombotic lesions in the portal vein and is caused by various etiologies. Its clinical manifestations vary with location, extension, degree of vascular occlusion, and formation time, and severe thrombosis may cause gastrointestinal congestion and necrosis, liver insufficiency, esophagogastric variceal bleeding, and portal hypertensive biliary disease and even threatens patients’ life. Color Doppler ultrasound and contrast-enhanced abdominal computed tomography/magnetic resonance imaging are important auxiliary examinations for the diagnosis of portal vein thrombosis and play a vital role in early diagnosis and treatment, severity evaluation, and guidance for targeted treatment of this disease. Therapies of portal vein thrombosis depend on its severity and mainly target portal vein thrombosis and its complications. Surgical treatment should be performed for patients with intestinal congestion and necrosis, portal hypertension with esophagogastric variceal bleeding, splenomegaly, hypersplenism, portal hypertensive biliary disease, and end-stage liver disease. This article reviews the advances in the etiology, clinical manifestations, diagnosis, and surgical treatment of portal vein thrombosis.
【关键字】:静脉血栓形成; 门静脉; 外科治法
【Key words】:venous thrombosis; portal vein; surgical therapy
【引证本文】:ZHANG Y, LIU QY, LI ZW. Surgical diagnosis and treatment of portal vein thrombosis[J]. J Clin Hepatol, 2018, 34(10): 2058-2062. (in Chinese)
张鹰, 刘庆艳, 李志伟. 门静脉系统血栓的外科诊疗[J]. 临床肝胆病杂志, 2018, 34(10): 2058-2062.

地址:长春市东民主大街519号《临床肝胆病杂志》编辑部 邮编:130061 电话:0431-88782542/3542
临床肝胆病杂志 版权所有 Copyright © 2009 - 2013 Lcgdbzz.org. All Rights Reserv 吉ICP备10000617号

吉公网安备 22010402000041号