在儿科人口中的肝外门静脉阻塞中临时的避风术
Prabudh Goel1, Veereshwar Bhatnagar1, Vikash Srinivasaiahsetty Chennur2
1Department of Paediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.
Journal of Indian Association of Pediatric Surgeons
|April 15, 2024
概括
临时的分流对于患有肝外门静脉阻塞的儿童来说是一个可行的选择,当标准的分流无法实现时. 这些替代手术有效地管理儿科患者的门高血压和相关症状.
科学领域:
- 儿科手术 儿科手术
- 血管外科 血管外科
- 肝病学 肝病学是一种肝病学.
背景情况:
- 肝外门静脉阻塞 (EHPVO) 影响超过20%的儿科患者,由于解剖学限制,往往使其无法避开.
- 当没有适合标准端口系统变流器的静脉时,临时变流器提供了一个关键的替代方案.
研究的目的:
- 评估临时分流在患有EHPVO的儿科患者门高血压的管理中的有效性和结果.
- 分析与临时冲刺相关的解剖学考虑,症状解决,手术结果和冲刺通透性.
主要方法:
- 在1983-2018年间对138名患有门高血压的儿童进行了回顾性分析,重点关注6名儿科EHPVO患者,这些患者接受了临时的分流治疗.
- 临时的分流类型包括右胃脉静脉到左脉静脉,上半肠静脉到下半腔静脉移植,以及各种下半肠静脉分流.
主要成果:
- 所有的6名患者都显示出门口压力在转移后的降低.
- 观察到症状的显著缓解,如血,黑色素和水出血.
- 在整个随访期 (1.5-4年) 中,六种分流中的五种仍然是专利的,其中一名患者经历了没有症状复发的分流阻塞.
结论:
- 临时的分流为儿科患者的可行和有效的替代方案,EPHVO和不可分流的静脉.
- 基于当地的解剖学和外科医生的偏好进行个性化选择对于成功实施临时变换至关重要.
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