摘要
区域性门静脉高压症在临床上比较少见，但却是门静脉高压症中唯一能够治愈的类型。本病的首要病因为胰腺疾病，根本原因是脾静脉阻塞。最常见的临床表现是孤立性胃底静脉曲张。影像学中血管造影是诊断的金标准，治疗应遵循“个体化原则”，对于有上消化道出血或脾功能亢进者治疗的根本措施是脾切除。本文就其病因及分类、病理生理、临床表现与诊断、影像学检查、治疗等方面的研究进展作一综述。
In clinical practice, regional portal hypertension is infrequent, but it is the only type which could be cured of portal hypertension. Pancreatic diseases are the chief pathogeny of regional portal hyperten- sion, and the obstruction of spleen vein is the basic reason. The common clinical manifestation is isolatism varicose veins of pylorus. The golden standard of its iconography diagnosis is DSA, and the treatment should follow the individual principle. The splenectomy is the basic measure for them who have UGIB or hypersplenism. This is a review about recent advance in regional portal hypertension of etiology and classification, pathology and physiology, clinical manifestation, diagnosis ,radiographic examination, cure, and so on.
出处
《国际外科学杂志》
2011年第10期704-706,共3页
International Journal of Surgery
基金
扬州市科技攻关项目（No.YZ2008042）
江苏省中医药局科技项目（No.LZ09133）
关键词
门静脉高压症
胰腺炎
区域性
Portal hypertension
Pancreatitis
Regional
