摘要
目的探讨贲门周围血管离断加经腹食管横断吻合术治疗门静脉高压症的疗效。方法对1997年6月至2002年6月在我科行贲门周围血管离断加经腹食管横断吻合术治疗的48例门静脉高压症患者的临床资料进行回顾性分析。结果94%的患者得到了随访,平均随访时间为39个月。术后静脉曲张消失率为93%,食道曲张静脉再出血率2%,患者存活率为93%,手术死亡2例。术后门静脉系统血栓形成发生率为8%,膈下积液发生率为6%,吻合口漏发生率为8%,吻合口狭窄发生率为6%。结论贲门周围血管离断加经腹食管横断术是治疗门静脉高压症的一种有效术式。
Objective To evaluate the effect of paraesophagogastric devascularization and splenectomy with transabdominal esophageal transection and reanastomosis in the treatment of portal hypertension Methods Clinical data of 48 portal hypertensive patients undergoing this procedure from June 1997 to June 2002 were analyzed retrospectively to evaluate the effect and complications of the operation Results Forty three patients were followed up for an average of 39 months The varicose veins eliminating rate was 93% The rebleeding rate was 2% The survival rate was 93% Two patients died of severe intra abdominal infection due to leakage of esophageal anastomosis and hepatic failure respectively during the early postoperative period Postoperative thrombosis rate in portal system was 8%, hydrops rate in splenic recess was 6%, the leakage and stenosis rate of anastomosis were 8% and 6% respectively Conclusion Paraesophagogastric devascularization and splenectomy with transabdominal esophageal transection is an effective method for the treatment of portal hypertension Because there is a risk of postoperative anastomosis leakage and stenosis, attention should be paid to the choice of patients for operation and manipulations during the operation
出处
《中华普通外科杂志》
CSCD
北大核心
2004年第11期649-650,共2页
Chinese Journal of General Surgery
