改良型遠端脾腎靜脈分流術對於食道靜脈曲張出血之療效

Modified Distal Splenorenal Shunt in the Treatment of Esophageal Variceal Bleeding

張北葉(Pei-Yeh Chang) ； 魏達成(Ta-Cheng Wei) ； 林肇堂(Jaw-Town Lin) ； 黃冠棠(Guan-Tarn Huang) ； 曾旭明(Yuk-Ming Tsang) ； 鄧子雲(Tze-Wan Tang)

《中華民國消化系醫學會雜誌》 Volume 2 Issue 2 (1985/06) Pp. 83-88

https://doi.org/10.6557/GJTa.198506_2(2).0004

Abstracts

1982年10月至1984年4月之間，作者施行7例改良型遠端脾腎靜脉分流術治療食道靜脉出血。手術後無死亡例，術後併發症極少並且患者恢復迅速。術後1年追蹤檢查發現除2例有吻合處栓塞及狹窄現象外其餘各例之今流約仍保特通暢。7位患者約未再出血。手術後有3例發生一時性輕微腦病變，其中僅1例症狀持績超過2個月。此術對病患之肝功能影響不甚明顯，但有脾臟功能亢進現象之5位病例術後未見改善。吻合通暢例之脾腫大現象消失，並且食道靜脉曲張現象幾乎消失。作者利用超音波測定吻合處通暢情形及其血流量，作爲追蹤之主妥方法。因此作者認爲如具經驗，此術對治療食道靜脉出血爲一有效且安全的方法。

Keywords

遠端脾腎靜脉分流術 ； 食道靜脉曲張出血

Parallel abstracts

An analysis of 7 patients who underwent modified distal splenorenal shunt from Oct. 1982 to Apr. 1984 shows that there were no surgical mortality and morbidity were low. One shunt thrombosed and another shunt was stenotic. Both cases had recurrent varices without bleeding. In the remaining 5 cases, long term shunt patency was verified and varices diminished. Hepatic encephalopathy annoyed only one case whose liver function was poor and mild encephalopathy was noted preoperatively Liver function tests didn't deteriorate during the period of postoperative observation but hypersplenism was not significantly ameliorated in our series. It is concluded that distal splenorenal shunt is a safe and effective surgical procedure for treatment of esophageal variceal bleeding, especially with some experience.

Parallel keywords

distal splenorenal shunt ； esophageal variceal bleeding