摘要
将58例肝硬化伴有食管静脉曲张出血史或出血的患者随机分成两组.A组行通常贲门周围血管断离术;B组行改良的贲门周围血管断离术.术后1～10年间,B组食管静脉曲张再出血率及再出血死亡率显著低于A组;静脉曲张消失及改善率非常显著高于A组,静脉曲张程度非常显著轻于A组.提示:食管下段覆盖术后能有效地阻止门静脉分支与食管下段静脉之间的新生血管相互吻合,沟通而后进一步扩大所引起的食管静脉再曲张,能有力地降低食管静脉曲张再出血率;只行脾中上部切除的脾大部切除术不影响手术效果,且有利于维持免疫功能.
Fifty-eight patients suffering from cirrhosis with portal hypertension were di-vided into two groups at random;Group A:Hassab's operation was performed;Group B:Im-proved Hassab's operation was performed. During 1~10 years of postoperation,bleeding rate and bleeding mortality in Group B were significantly lower than those in.Group A,improve-ment and disappearance rate of esophageal varices in Group B were significantly higher than those in Group A. It is suggested that the lower part of esophagus surrounded by some mate-rials be able to prevent the communication between the branch of portal vein and the vein of the lower part of esophagus. then prevent esophageal varices. Removing the upper and middle part of spleen only can maintain the effect of immunology and benefit Hassab' s operation.
关键词
贲门周围血管
断离术
胃手术
portal hypertension
esophageal varices
Hassab's operation
splenctomy
