摘要
报告近10年采用贲门周围血管离断术治疗门静脉高压症247例。247例中治疗性手术131例(择期手术101例、急症手术30例),预防性手术116例。术后死亡8例(死于肝昏迷5例、肝肾综合症3例)。术后随访225例;治疗性手术125例术后再出血率12％,预防性手术110例术后再出血率10％。术后再出血原因,主要是血管离断不完全,尤其是漏切高位食管支。认为贲门周围血管离断术,手术范围不大,创伤小,止血效果确切,应作为门脉高压症出血和预防出血的首选术式。
Operations of cutting the pericardial blood vessels were performed to treat 247 patients with portal hypertension in recent 10 years. Of them,there are 131 therapeutic operations (101 fixing ones, 30 emergency ones) and 116 preventive operations. Five patients diedfrom hepatic coma and three from hepato-renal syndrome after their operations. And also,following visits were paid to 225 patients postoperatively. The rebleeding rate in125 therapeutic postoperative cases is 12%,and 10% in 110 preventive posto perative cases. The rebleeding is mainly caused by the uncompleted blood vessel cutting, especially by the leaving-out of cutting the upper esophageal branches. Owing to its small operating range, little injury and reliable styptic effects, pericardial blood vessel cutting is believed to be the best way to control and prevent the bleeding in and after the portal hvpertension operations.
出处
《临沂医学专科学校学报》
1993年第2期115-117,共3页
Journal of Linyi Medical College
关键词
门脉高血压
外科手术
Blood vessel cutting
Portal hypertension
Surgery
