| 摘要: |
| ［摘要］ 门静脉血栓(portal vein thrombosis，PVT)是指发生于门静脉系统的任何一段，包括门静脉主干、肠系膜上静脉、肠系膜下静脉或脾静脉的血栓。目前，PVT是肝硬化患者脾切除联合断流术后最常见、最严重的并发症，可导致入肝血流异常、门静脉高压症加重，进一步诱发肝功能衰竭，甚至死亡。可见，全面认识PVT有利于早期术前评估风险和监测PVT的发生。该文将对肝硬化脾切除术后PVT形成的研究进展作一综述。 |
| 关键词: 肝硬化 脾切除 门静脉血栓 病因 危险因素 治疗 |
| DOI：10.3969/j.issn.1674-3806.2017.01.30 |
| 分类号:R 575.2 |
| 基金项目: |
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| New research progress of liver cirrhosis portal vein thrombosis after splenectomy |
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ZHANG Wen-xiang, XIE Qiang-qiang, LV Ting-ting, et al.
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Department of General Surgery, the First Affiliated Hospital of Shanxi Medical University, Taiyuan 030001, China
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| Abstract: |
| ［Abstract］ Portal vein thrombosis(PVT) refers to the thrombosis that happens in any part of the portal vein, including the main portal vein, superior mesenteric vein, inferior mesenteric vein and splenic vein. At present, PVT is the most common and serious complication in the patients with liver cirrhosis after splenectomy associated with devascularization, which can lead to abnormal hepatic blood inflow, portal vein hypertension aggravation, further liver function failure and even death. A comprehensive understanding of PVT is conducive to the early preoperative assessment of the risks and monitoring the occurrence of PVT. The new research progress of liver cirrhosis portal vein thrombosis after splenectomy is reviewed in this paper. |
| Key words: Liver cirrhosis Splenectomy Portal vein thrombosis(PVT) Etiology Risk factors Treatment |
