Wen Zhe,Zhang Binbin.Preoperative assessments and operations for prehepatic portal hypertension in children[J].Journal of Clinical Pediatric Surgery,2019,18(12):994-998.[doi:10.3969/j.issn.1671-6353.2019.12.002]
儿童肝前性门静脉高压的术前评估及手术治疗
- Title:
- Preoperative assessments and operations for prehepatic portal hypertension in children
- Keywords:
- Liver Diseases; Hypertension; Portal; Surgical Procedures; Operative; Health Status Indicators; Child
- 分类号:
- R726.1;R575;R657.3+4
- 摘要:
- 肝前性门静脉高压是儿童最常见的门静脉高压类型，近20年来，其治疗策略发生了根本性变化，Rex手术成为首选的治疗方法，在Baveno Ⅵ共识中，已经将Rex手术作为肝前性门静脉高压并发出血的初级和次级预防措施。肝前性门静脉高压术前需要对患儿的凝血功能状态、血管和肝实质情况进行评估，制定合理的手术方案，Rex手术的总体预后令人满意。
- Abstract:
- Prehepatic portal hypertension (PHT) is the most common type of portal hypertension in children.Its treatment strategies have changed fundamentally over the last two decades.Meso-rex bypass is a first choice.In the Baveno Ⅵ consensus,Meso-rex bypass was recommended as the primary and secondary prophylaxis of variceal bleeding in PHT children.In those with prehepatic PHT,coagulation status,blood vessels and liver parenchyma should be evaluated preoperatively.The overall prognosis of Meso-rex bypass is satisfactory.
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备注/Memo
收稿日期:2019-10-10。
基金项目:广东省省级科技计划项目（编号：2014A020212026）
作者简介:温哲,Email:wenzhe2005@163.com