摘要
目的:探讨肝硬化门脉高压不同手术方式的临床疗效。方法:回顾分析我院采用贲门周围血管离断术,改良Sugiura术,中心性脾肾分流联合断流术治疗门脉高压症114例的临床资料。结果:本组病人行贲门周围血管离断术78例,其中15例行急诊手术,择期手术死亡4例(5.1%),急诊手术死亡3例(20%),死亡的主要原因是消化道大出血,肝功能衰竭。改良sugiura术29例,死亡2例(6%),死亡原因是吻合口瘘,肝功能衰竭。7例行中心性脾肾分流联合断流术,疗效满意。结论:贲门周围血管离断术,改良的sugiura术,操作简单,近期疗效确切,但不能达到充分治疗目的。中心性脾肾分流联合断流术,既保留了分流术和断流术的优点,又克服二者缺点,是较理想的手术方式。
Objective：To observe the clinical outcomes of surgically treating patients with cirrhotic portal hypertension with diverse procedures. Methods： We retrospectively analyzed the results of 114 patients with portal hypertension undergone different surgical treatments by either pericardial devascularization or modified Surgiura method or combined proximal splenorenal shunt with pericardial devascularization. Results ： Seventy-eight of the 114 patients received pericardial devascularization, in which 3 deaths were found in the 15 cases of emergency surgery（20% ） and 4 deaths of scheduled surgery （5.1%） due to massive gastrointestinal hemorrhage and liver failure. Two deaths occun＇ed in the 29 undergone modified Surgiura as a result of anastomotic leakage and liver failure, and yet, excellem results were found with the 7 cases undergone combined proximal splenorenat shunt and pericardial devascularization. Conclusion：Pericardial devascularization or modified Surginra procedure is simply to perform. Although the short-term outcomes are favorable, full recovery is rare with the two procedures. However, combined proximal splenorenal shunt with pericardial dcvascularization appears excellent, for it can hold the merits but overpower the defects of the two procedures described previously.
出处
《皖南医学院学报》
CAS
2011年第3期212-214,共3页
Journal of Wannan Medical College
关键词
门脉高压症
断流术
脾肾分流术
portal hypertension
devascularization
splenorenal shunt
