Qi Shiqin,Bian Jian,Wei Decheng,et al.Rex shunting plus devascularization and ligation of splenic artery for cavernous transformation of the portal vein in children[J].Journal of Clinical Pediatric Surgery,,18():1014-1017,1035.[doi:10.3969/j.issn.1671-6353.2019.12.006]
Rex shunting plus devascularization and ligation of splenic artery for cavernous transformation of the portal vein in children
- Keywords:
- Portal Cavernoma; Rex Shunt; Splenic Artery; Ligation; Treatment Outcome; Child
- CLC:
- R726;R575;R657.3+4
- Abstract:
- Objective To summarize our experiences of treating cavernous transformation of the portal vein (CTPV) in children.Methods A total of 16 children underwent Rex shunting plus devascularization and ligation of splenic artery for CTPV from August 2012 to July 2019.Their clinical data and follow-up results were recorded and analyzed.Results Among them,15 cases were successfully operated.Prior to shunting,the average pressure of portal vein was (32.6±5.4)(28.3-45.8) cm H2O.After shunting,the average pressure of portal vein declined to (23.4±3.7)(17.2-27.8) cm H2O.And the difference was statistically significant (P<0.01).After operation,all of them recovered well and were discharged.One child underwent further Warren shunting and died after giving up for further interventions.During an average follow-up period of 31.5(6-72) months,3 cases with a recurrence of upper gastrointestinal hemorrhage were controlled easily with drugs.One child underwent splenectomy for hypersplenism at 5 years.All of them had excellent growth and development.Conclusion Rex shunt plus devascularization and ligation of splenic artery is efficacious for treating pediatric CTPV.
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Memo
收稿日期:2019-10-08。
基金项目:安徽医科大学校科研基金项目（编号：2019xkj179）
通讯作者:戚士芹,Email:qishiqin@163.com