• 目的探讨脾外伤脾门破裂原位保留脾脏的手术方法。

    Objective To explore the operational method of retaining spleen at its original place when spleen trauma and spleen rupture happens.

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  • 结论:脾肾韧带及胃脾韧带是脾门区及脾脏内胰源性假性囊肿形成的重要解剖学基础;

    Conclusion:Lienorenal and gastrolienal ligaments were important anatomic basis in the formation of the splenic or splenic hilus pancreatic pseudocysts.

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  • 通过依次结扎犬脾门处脾静脉主干、胃脾静脉干及脾静脉属枝,建立继发性脾功能亢进动物模型。

    A canine model of secondary hypersplenism was established by ordinal ligation of gastrosplenic vein trunk, splenic vein and its collateral branches.

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  • 结论:肝癌患者舌下络脉宽度与肝门脉系统中门静脉内径和脾静脉内径密切相关。

    Conclusion: the width of lingual vein is closely correlated with the diameters of portal vein and splenic vein in patients with primary liver cancer.

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  • 方法:在肝硬化门脉高压症行脾切除,断流术的同时制作一腹膜管,使腹水经此管转流于皮下。

    Method To make a peritoneum canal at the meantime splenectomy and cut off stream, the ascites flow in the subdermal via the peritoneum.

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  • 目的:探讨肝硬化、门脉高压症行脾切除术后早期应用抗凝药物对预防门静脉血栓的意义。

    Objective To research the anticoagulants in protecting the portal vein obstruction after splenectomy due to the portal hypertension of hepatic cirrhosis.

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  • 结果与术前相比,脾切除有一定降低门脉压的作用(P< 0.05);肠腔分流术降压效果最佳( P<0.001) ;

    Results The effect on portal decompression was excellent in MCS( P< 0.001 ), good in combined operation( P< 0.01 ), fair in splenectomy( P< 0.05 ).

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  • 结论手助腹腔镜行脾切除门奇断流术不但安全可行,而且具有微创手术的优点,疗效满意。

    Conclusions Hand assisted laparoscopic splenectomy plus portozygos disconnection procedure in not only feasible and safe but also has the merits of minimally invasive surgery.

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  • 脾肾静脉分流是治疗小儿肝外型门脉高压症的有效手段,但因肾静脉位置深、细小,增加了手术难度,影响疗效。

    Although extrahepatic portal hypertension(EHPH) can be effectively managed by splenorenal shunts(SRS), the relatively small caliber of renal vein in child may become a trouble during these operations.

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  • 结论门脾静脉血栓形成及脾窝积血、积液或感染是术后持续性发热的主要原因。

    Conclusions Splenoportal thrombosis, and hematocele, hydrops or infection in the splenic recess were the main causes of persistent fever after splenectomy.

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  • 目的探讨腹腔镜在脾切除门奇静脉断流术中的临床应用。

    To explore the clinical application of laparoscopic splenectomy with porta-azygos disconnection.

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  • 目的:探讨部分脾栓塞术(PSE)治疗肝癌伴门脉高压及脾亢的价值。

    Purpose: To evaluate the usefulness of partial spleen embolization (PSE) for treatment liver cancer with portal hypertension and hypersplenism.

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  • 结论部分性脾栓塞术后可明显降低门脉压力及改善脾功能亢进。

    Conclusion Partial splenic embolization can reduce pressure of portal hypertension and is a effective therapy of hypersplenism in cirrhosis.

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  • 门、脾静脉宽度与门脉压力及食道静脉曲张程度关系不密切。

    The width of portal and splenic vein had no close relation with portal pressure and the degree of esophageal varicose vein.

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  • 目的探讨脾部分栓塞后脾切除联合门-奇静脉断流术治疗门静脉高压症的护理。

    Objective to investigate the nursing effects of combined application of partial splenic embolization with disconnection of portal-systemic venous shunt to treat the portal hypertension.

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  • 结果29例手助腹腔镜脾切除加门-奇静脉阻断术获得成功。

    Results Hand-assisted laparoscopic splenectomy plus porta-agygous devascularization was successful in all 29 patients.

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  • 动态观察门静脉主干及脾静脉宽度对了解患者肝纤维化和门脉高压程度有一定的临床意义。

    Conclusions Dynamic observations on the widths of TPV and SPV have some significance to know degree of liver fibrosis and portal hypertension in patients with chronic viral hepatitis.

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  • 腹部超声示肝硬化、门脉高压和巨脾,超声心动图示心肌肥大、二尖瓣和三尖瓣轻度关闭不全;

    Abdominal ultrasound examinations showed cirrhosis, portal hypertension, splenomegaly. Echocardiogram showed left ventricular myohypertrophia, mild mitral and tricuspid valve insufficiency.

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  • 腹部超声示肝硬化、门脉高压和巨脾,超声心动图示心肌肥大、二尖瓣和三尖瓣轻度关闭不全;

    Abdominal ultrasound examinations showed cirrhosis, portal hypertension, splenomegaly. Echocardiogram showed left ventricular myohypertrophia, mild mitral and tricuspid valve insufficiency.

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