Clinical analysis of portal vein thrombosis after splenocaval shunt plus devascularization in treatment of portal hypertension

VernacularTitle:脾腔分流联合断流术后门静脉系统血栓形成的临床分析
Author: Lixue DU ; Wujun WU ; Yu ZHANG ; Zhongjie SUN ; Haitian HU ; Qingguang LIU
Publication Type:Journal Article
Keywords: Hypertension,portal; Shunt; Thrombosis; Devascularization
From: Chinese Journal of Hepatobiliary Surgery 2010;16(5):353-355
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical characteristics of portal vein thrombosis(PVT) after splenocaval shunt plus devascularization in treatment of portal hypertension and find Out ways for its prevention.Methods The formation,diagnosis,treatment of PVT and variceal rehemorrhage in 110 patients with portal hypertension who received splenocaval shunt plus devascularization procedures (Combined Group)and 92 patients subjected to pericardial devascularization operation(PCDV Group) were retrospectively analyzed.Meanwhile,the effect of two procedures on PVT was compared.Results The incidence of PVT was 10.0%in combined group and 22.8%in PCDV group (P<0.05).The rebleeding rate from esophagogastric varices because of PVT in combined group was 3.6%,which was significantly lower than that of 10.8%in PCDV group(P<0.05).Conclusion Splenoeaval shunt plus devascularization is a better choice to decrease the incidence of PVT.The postoperative anti-coagulation therapy in the early stage is important for the prevention of PVT.