前言目的探讨门-体静脉分流术与肝性脊髓病的关系以及对其发病率的影响。方法对11例肝性脊髓病患者的病因进行回顾性分析,(4例为口腔分流术后,3例为断流+分流,1例为脾切除后,余3例为自发性)。结果门-体分流术引起肝性脊髓病8例,占72。73%;明显高于自发性4例,占27。27%(P<0。01)。结论门-体分流术可增加肝性脊髓病的发病率。国外采用结肠脱离术治疗本病,对有肝衰竭患者可行肝移植术。
Toinvestigatetheinfluenceofportal-systemicshuntonhepaticspinalcorddisease.MethodsClinicaldataof11casesofhepaticspinalcorddiseasetreatedinourhospitalwereanalyzed.ResultsOfthe11patients,8hadgoneprotal-systemicshunt.ConclusionItshouldbenoticedthatportal-systemicshuntmightcauseoccurrenceandraisetheincidenceofhepaticspinalcorddisease.