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为了观察小儿门脉高压症脾肾静脉分流术的远期疗效，随访行脾肾静脉分流术后３年以上的患儿２６例。手术时最小年龄５岁。术前有呕血、便血者１９例，其余均有食静脉曲张。肝功能属ＣｈｉｌｄＡ级１３例、Ｂ 级１１例Ｃ级２例。肝内型２０例。１９８０年前１０例均行传统的脾肾静脉分流术，１９８０年后的１６例行改良脾肾静脉分流术为主的联合手术。本组无手术死亡病例。２５例（９６．１％）获访，平均随访９年。死亡６例。通过对１９８０年前后两组对比观察，术后１０年以上生存率及病死率１９８０年后组优于前者（Ｐ＜０．０５）。认为脾肾静脉分流术对控制食管静眯曲张破裂出血有肯定价值，联合手术可提高其疗效。
In order to observe the long-term efficacy of splenorenal shunt in children with portal hypertension, follow-up of 26 cases of children more than 3 years after splenorenal shunt. The minimum age of surgery is 5 years old. Preoperative hematemesis, 19 cases of blood in the stool, the rest are eating varicose veins. Liver function is ChildA grade 13 cases, B grade 11 cases C grade 2 cases. Liver type 20 cases. In the first 10 years of 1980, the traditional splenorenal shunt was performed. In 1980, 16 patients underwent combined splenectomy and renal shunt surgery. This group of non-operative deaths. Twenty-five patients (96.1%) were followed up for an average of 9 years. 6 died. By comparing the two groups before and after 1980, the survival rate and mortality after 10 years were better than the former after 1980 (P <0.05). That spleen and renal vein shunt on the control of esophageal varicocele bleeding certain value, combined surgery can improve its efficacy.