Application of Paraumbilical Vein in Surgical Shunt of Portal Hypertension_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

李震 ¹ , 賈如冰 ² , 汪忠鎬 ^1,3 , 霍小森 ¹ , 卞策 ⁴ , 林杰 ⁴

Corresponding?author：

Keywords：

門靜脈高壓; 附臍靜脈; 分流術; 外科

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的探討附臍靜脈在門靜脈高壓分流術中的應用。
方法對第二炮兵總醫院2009年收治的2例經多次治療后復發的布加綜合征患者利用明顯擴張的附臍靜脈進行門體分流術。
結果術后門靜脈壓力均明顯降低， 2患者分別在術后隨訪7和5個月，療效滿意。
結論對于復雜重癥的門靜脈高壓患者，明顯擴張并壓力增高的附臍靜脈可用于門腔靜脈轉流，術式簡單有效。

Citation： 李震,賈如冰,汪忠鎬,霍小森,卞策,林杰. Application of Paraumbilical Vein in Surgical Shunt of Portal Hypertension. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(2): 180-181. doi: Copy

1.	Yoshida H, Mamada Y, Taniai N， et al. New trends in surgical treatment for portal hypertension [J]. Hepatol Res, 2009; 39(10): 10441051.
2.	Segawa M, Sakaida I. Diagnosis and treatment of portal hypertension [J]. Hepatol Res, 2009; 39(10): 10391043.
3.	Zhou GW, Li HW. Surgical therapy for portal hypertension in patients with cirrhosis in China: present situation and prospects [J]. Chin Med J (Engl), 2009; 122(13): 14831485.
4.	王欣博, 童中勛, 劉威, 等. 門靜脈海綿樣變性外科治療的研究進展 [J]. 中國普外基礎與臨床雜志, 2008; 15(12): 877879.
5.	Wang ZG， Jones RS. BuddChiari syndrome [J]. Curr Probl Surg， 1996； 33（2）： 83211.
6.	李曉東，陳學明，汪忠鎬，等. 肝外型門靜脈高壓癥外科治療42例經驗 [J]. 中國普外基礎與臨床雜志, 2002; 9(2): 122123.
7.	Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1): 253256.
8.	Singal AK, Ahmad M, Soloway RD. Duplex Doppler ultrasound examination of the portal venous system: an emerging novel technique for the estimation of portal vein pressure [J]. Dig Dis Sci, 2009; Jul 23. DOI: 10.1007/S1062000908870.
9.	Kogo M, Nebashi Y, Taniguchi H, et al. Evaluation of paraumbilical vein as a prognostic index of severe liver cirrhotic patients with portalsystemic shunts [J]. Minerva Gastroenterol Dietol, 2006; 52(4): 371378.
10.	Ibukuro K, Kojima K, Kigawa I, et al. Embolization of rectal varices via a paraumbilical vein with an abdominal wall approach in a patient with massive ascites [J]. J Vasc Interv Radiol, 2009; 20(9): 12591261.
11.	侯鈺，孫廣新，楊俊山. 門靜脈高壓時臍靜脈或附臍靜脈的血流動力學改變及臨床意義 [J]. 肝膽外科雜志， 2004； 12（5）： 332334.
12.	Gupta D, Chawla YK, Dhiman RK, et al. Clinical significance of patent paraumbilical vein in patients with liver cirrhosis [J]. Dig Dis Sci, 2000； 45(9): 18611864.
13.	Ishikawa Y, Yoshida H, Mamada Y, et al. Surgical disconnection of patent paraumbilical vein in refractory hepatic encephalopathy [J]. J Nippon Med Sch, 2008; 75(3): 152156.
14.	王曙光，蔡景修, 劉子沛, 等. 臍靜脈橋式選擇性分流術 [J]. 消化外科雜志, 2003; 2（4）： 239242.
15.	王傳德，魏定夏，汪忠鎬. 臍靜脈大隱靜脈轉流術在重度門脈高壓大出血中的應用 [J]. 中國現代普通外科進展， 1999； 2(4): 4243.

1. Yoshida H, Mamada Y, Taniai N， et al. New trends in surgical treatment for portal hypertension [J]. Hepatol Res, 2009; 39(10): 10441051.
2. Segawa M, Sakaida I. Diagnosis and treatment of portal hypertension [J]. Hepatol Res, 2009; 39(10): 10391043.
3. Zhou GW, Li HW. Surgical therapy for portal hypertension in patients with cirrhosis in China: present situation and prospects [J]. Chin Med J (Engl), 2009; 122(13): 14831485.
4. 王欣博, 童中勛, 劉威, 等. 門靜脈海綿樣變性外科治療的研究進展 [J]. 中國普外基礎與臨床雜志, 2008; 15(12): 877879.
5. Wang ZG， Jones RS. BuddChiari syndrome [J]. Curr Probl Surg， 1996； 33（2）： 83211.
6. 李曉東，陳學明，汪忠鎬，等. 肝外型門靜脈高壓癥外科治療42例經驗 [J]. 中國普外基礎與臨床雜志, 2002; 9(2): 122123.
7. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1): 253256.
8. Singal AK, Ahmad M, Soloway RD. Duplex Doppler ultrasound examination of the portal venous system: an emerging novel technique for the estimation of portal vein pressure [J]. Dig Dis Sci, 2009; Jul 23. DOI: 10.1007/S1062000908870.
9. Kogo M, Nebashi Y, Taniguchi H, et al. Evaluation of paraumbilical vein as a prognostic index of severe liver cirrhotic patients with portalsystemic shunts [J]. Minerva Gastroenterol Dietol, 2006; 52(4): 371378.
10. Ibukuro K, Kojima K, Kigawa I, et al. Embolization of rectal varices via a paraumbilical vein with an abdominal wall approach in a patient with massive ascites [J]. J Vasc Interv Radiol, 2009; 20(9): 12591261.
11. 侯鈺，孫廣新，楊俊山. 門靜脈高壓時臍靜脈或附臍靜脈的血流動力學改變及臨床意義 [J]. 肝膽外科雜志， 2004； 12（5）： 332334.
12. Gupta D, Chawla YK, Dhiman RK, et al. Clinical significance of patent paraumbilical vein in patients with liver cirrhosis [J]. Dig Dis Sci, 2000； 45(9): 18611864.
13. Ishikawa Y, Yoshida H, Mamada Y, et al. Surgical disconnection of patent paraumbilical vein in refractory hepatic encephalopathy [J]. J Nippon Med Sch, 2008; 75(3): 152156.
14. 王曙光，蔡景修, 劉子沛, 等. 臍靜脈橋式選擇性分流術 [J]. 消化外科雜志, 2003; 2（4）： 239242.
15. 王傳德，魏定夏，汪忠鎬. 臍靜脈大隱靜脈轉流術在重度門脈高壓大出血中的應用 [J]. 中國現代普通外科進展， 1999； 2(4): 4243.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Application of Paraumbilical Vein in Surgical Shunt of Portal Hypertension

Abstract Full text Figures/Tables Video References Cited by

Format

Content