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Oeeki Y reported a method of partial arterialization of portal vein with ileo-colon arteriovenous anastomosis in 1997, he thought this can prevent theliver failure caused by embolism of hepatic artery after liver operation.

但过量动脉血(门静脉内动脉血灌流量达到门静脉正常血流量的一倍以上时)灌流肝内门静脉则对肝脏有害,如导致肝内门静脉分支增宽,内膜纤维变性,以及肝细胞微粒体酶活力的改变。

Couinaud's segmengtation of the liver intransaxial imaging has limitations. Three-dimension(3D)angiography ofportal and hepatic venous systems canbe applied to divide hepatic segment accurately. Hepatic segment analyzed by tracking the branches of portalvein is ofmore clinical value.

传统的横断解剖Couinaud肝脏分段法存在一定缺陷,三维门静脉和肝静脉成像可以用于肝段解剖的划分,采用门静脉属支追踪法对肝段描述可能更有临床价值。

Purpose:To observe the vascular and blood flow changes of portal vein and hepatic artery in patients with primary liver carcinoma.

目的:观察原发性肝癌患者的门静脉、肝动脉的血管和血流变化。

Results ①It had greatly verisimilar image for the reconstructed 3D liver moulds with artery, vein, portal vein and bile duct; By liver seeing through, it had high fidelity and strong 3D effect for the intrahepatic artery, vein, portal vein and bile duct, and their spatial disposition and course and correlationship were shown clearly.

结果 ①重建的肝脏模型具有肝脏、肝动脉、肝静脉、门静脉和胆道系统,形态逼真,立体感强;肝脏可视化后,肝脏内部管道空间立体感强,肝动脉、肝静脉、门静脉和肝胆管的分布、行程以及相互关系明晰。

The study of relation between hepatogenic peptic ulcer and portal hypertension,transmitter metabolic disturbance,hepatic insufficiency and infection;and the therapeutic principles of complications of peptic ulcer are described.Twenty four of 58 patients with hepatogenic peptic ulcer were examined by color Doppler ultrasound.Portal venous flow volume (24 cases) was 1060.9±96ml/min.

为探讨肝源性消化性溃疡的发病机理及其治疗原则,对58例肝源性消化性溃疡患者采用了彩色多普勒超声仪连续监测其门静脉血流量(24例),测定门静脉压力(8例)、血中组织胺浓度(8例)、溃疡灶旁胃泌素含量(9例)及幽门螺杆菌(58例)。58例中经手术治疗13例,非手术治疗45例。

Results The 47 cases etiologies of various hepatic perfusion disorders were classified: arterioportal fistulae in 9 cases, inflammatory hyperemic changes in 8 cases, portal venous inflow and hepatic venous outflow obstruction in 13 cases, steal phenomenon by tumors in 4 cases, aberr...

结果47例肝脏灌注异常,有以下几种情况:肝动脉门静脉瘘9例,炎症性充血8例,门静脉、肝静脉阻塞13例,肿瘤盗血现象4例,肝脏迷走血供2例和其它原因1例。结论多层螺旋CT三期增强扫描是评价肝脏异常灌注的有效方法。

RESULTS: On day 2 after PH, oval cells began to proliferate around the portal area, and matrilin-2 deposition was observed in the hepatic sinusoids in the periportal area. On day 9, proliferating oval cells were present in the hepatic acini, and matrilin-2 upregulation was noted. On day 12, as oval cells differentiated to form hepatocellular nodules, matrilin-2 was distributed mainly in the periphery of the nodules, and little protein was present in the nodules.

结果: 肝脏部分切除术(partial hepatectomy, PH)后第2天,卵圆细胞开始向门静脉周围区域增殖, Matrilin-2主要出现在门静脉周围的肝窦状隙内;术后第9天,卵圆细胞进一步向肝实质内增殖, Matrilin-2表达增加;术后第12天,随着卵圆细胞分化为小肝细胞结节,大多数Matrilin-2位于结节周边,少数出现在结节内。

This operation is suitable for the following portal hypertension: simple occlusion of hepatic vein (a pathological type of Budd-Chiari syndrome)thrombosis in portal vein or prehepatic portal hypertension due to cavernous transformation; intrahepatic portal hypertension with rebleeding after treatment of splenectomy or without operation, and the patients with liver function in Child A or B class.

本手术主要适应于以下原因引起的门静脉高压:①单纯化肝静脉闭塞(布-加综合征的一种病理类型);②门静脉主干血栓形成成海绵样变性引起的肝前性门静脉高压;③肝内型门静脉高压行断流术后再发出血或未行手术,肝功能为Child A和B级者。

In addition, the pathology form experiments of portal veins, and colons of rabbits and rats will be examined carefully for the applications of clinical trials.

另外,兔子和大鼠肝门静脉实验的病理资料会用来评估在临床试验上的应用。

Inferior vena cava is the largest vein in human body , wider than the hepatic vein, so some researchers propose direct intrahepatic portacaval shunt to lead some portal blood flow directly into vena cava, hoping to obtain more stable bypass.

DIPS术是在肝内门静脉与肝后段下腔静脉之间建立肝内分流,将部分门静脉血液直接分流入粗大的下腔静脉,它扩大了介入性门腔分流的适应症,可使部分难以实施TIPS术的患者也能做介入性门腔分流,成为介入性门腔分流的新热点。

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