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脾切除联合贲门周围血管离断术治疗门脉高压的疗效观察

The observation of the therapeutic effect of splenectomy combined with cardiac peripheral vascular disconnection in the treatment of portal hypertension
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摘要 目的:探讨脾切除联合贲门周围血管离断术治疗门脉高压的临床效果。方法:回顾收治的52例门脉高压患者临床资料,分析其脾切除联合贲门周围血管离断术治疗门脉高压的临床疗效。结果:本组52例门脉高压患者,全部行脾切除联合贲门周围血管离断术,48例疗效满意,4例术后肝功能衰竭死亡。结论:脾切除加离断术既解决了脾亢问题,同时还解决了出血问题,并维持了入肝的血流量,对肝功能的影响相对较小,且操作较简单,易推广。 Objective To explore the clinical effect of splenectomy combined with cardiac peripheral vascular disconnection in the treatment of portal hypertension.Methods Looking back at my hospital admitted 52 cases of portal hypertension clinical data,analyze its splenectomy combined with cardiac peripheral vascular disconnection in the treatment of portal hypertension clinical efficacy.Results 52 cases of patients with portal hypertension in our group were all of splenectomy from broken blood vessels around the joint cardiac surgery,48 cases satisfied,4 cases of liver failure and death.Conclusion Splenectomy not only solved the problem of Hassab hypersplenism,but also solved the bleeding problem,and maintained hepatic inflow blood flow to the liver function is relatively small,and the operation is relatively simple,easy to promote.
作者 邓勇
出处 《吉林医学》 CAS 2010年第15期2165-2166,共2页 Jilin Medical Journal
关键词 门脉高压 脾切除 贲门周围血管离断术 Portal hypertension Splenectomy Chop amputation of gastric cardia peripheral vascular
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