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为了对小儿肝前型门脉高压症不同的治疗方法进行评价，寻找比较合理的治疗方案，对本院２０年来收治的２７例小儿肝前型门脉高压症患儿的资料进行回顾性分析和随访。其中行断流术者１４例，分流术８例，单纯切脾和大网膜包肝包肾术５例。随访１６例，５例有再出血史。随年龄增长出血逐渐停止，全组无死亡。结论：小儿肝前型门脉高压症主要是由于门静脉主干或脾静脉梗阻、栓塞而致门静脉压力增高，而肝脏功能、结构均正常，预后好。自然侧支循环形成为本症最好的结果。因此提倡做能促进侧支循环建立的手术，如大网膜包肝包肾、脾肺固定术。断流术主要用于救治大出血者及反复多次出血者。分流术及脾切除的目的在于降低门脉系统压力避免静脉曲张，并能刺激自然侧支分流。所以分流术以远端分流较好，并只主张行巨脾切除。
In order to evaluate the different treatment methods of pediatric prehepatic portal hypertension and to find a more reasonable treatment regimen, we retrospectively analyzed the data of 27 pediatric patients with pre-hepatic portal hypertension treated in our hospital for 20 years Follow-up. Among them, there were 14 cases of disconnector, 8 cases of shunt, 5 cases of simple splenectomy and omentum wrapping the liver and kidney. Follow-up 16 cases, 5 cases have a history of rebleeding. Gradually stop bleeding with age, the whole group without death. Conclusion: Pediatric liver premenstrual portal hypertension is mainly due to obstruction of portal vein or splenic vein, portal hypertension caused by embolization, and liver function and structure are normal, the prognosis is good. Natural collateral circulation formed the best result of this disease. Therefore, to promote the establishment of collateral circulation can promote the establishment of surgery, such as the omentum of the liver and kidney, spleen and lung fixation. Ablation is mainly used to treat bleeding and repeated multiple bleeding. The purpose of shunting and splenectomy is to reduce the pressure on the portal system to prevent varicose veins and to stimulate natural collateral shunting. Therefore, the diversion to distal diversion better, and only advocated splenectomy.