摘要
目的探讨胰源性门脉高压症的诊断与治疗。方法回顾性分析该科3年11例胰源性门脉高压症的临床诊疗过程、结果及随诊。结果 11例患者中,慢性胰腺炎引起4例,胰腺假性囊肿6例,胰腺体尾部肿瘤1例。均有脾肿大,胃镜示胃底(或伴食管)静脉曲张,肝功能基本正常。行单纯脾切除9例,脾及胰体尾切除1例,脾切除、胆囊切除加结肠切除1例。除肿瘤患者外余预后良好。结论良性病变所致的胰源性门脉高压症能取得良好的根治效果。
【Objective】 To study the diagnosis and treatment of pancreatogenous portalhypertension.【Methods】 Eleven cases of pancreatogenous portalhypertension were analyzed retrospectively.【Results】 There were total 11 cases.The causes of them included chronic pancreatitis in 4 cases,pancreatic pseudocyst in 6 cases,pancreatic cancer in 1 case.Splenomegaly was found in all cases.Gastroscopy revealed either gastric or esophagus varix.Liver function in all cases was almost normal.The surgery treatment included splenectomy in 9 cases,splenectomy with body and tail of pancreas resection in 1 case,splenectomy and gallbladder removal with splenic flexure of colon resection in 1 case.Prognoses of all besides the pancreatic cancer were good.【Conclusion】 Pancreatogenous portalhypertension of benign lesion could be cured with good outcomes.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2011年第20期2428-2429,2432,共3页
China Journal of Modern Medicine
关键词
胰源性门脉高压症
脾切除
胃底静脉曲张
pancreatogenous portal hypertension
splenectomy
gastric fundus varix
