摘要
目的评估食管下段梯状环形缝扎黏膜下血管及胃底折叠术对晚期血吸虫病(晚血)门脉高压症并发上消化道出血的治疗效果。方法 2006-2011年选择患晚血门脉高压症患者,随机分为联合手术治疗组(联合组)与单纯手术治疗组(单纯组)。单纯组患者行门奇静脉断流术,联合组在此基础上加行食管下段梯状环形缝扎黏膜下血管及胃底折叠术。术后通过胃镜检查随访,比较2种术式的治疗效果。结果共选择晚血患者158例,联合治疗组75例,单纯治疗组83例。术后两组治疗有效率分别为81.3%(61/75)和30.1%(25/83)(χ2=39.44,P<0.01),发生再出血率分别为2.7%(2/75)和12.0%(10/83)(χ2=24.36,P<0.01),两组差异有统计学意义。结论食管下段梯状环形缝扎黏膜下血管及胃底折叠术对预防术后再出血效果明显,且术式安全,可作为治疗晚血门脉高压症的常规手术方式。
Objective To evaluate the effectiveness of the ladder ring suture of the esophageal mucosa vascular combined with Nissen＇ s fundoplication on provention from rebleeding of patients with advaced schistosomiasis Methods From August 2006 to August 2011, 75 patients with advanced schistosomiasis portal hypertension received the portal azygous disconnection and ladder ring suture of the esophageal mucosa vascular combined with Nissen＇ s fundoplication （a combined group）, and 83 patients with advanced schistosomiasis portal hypertension received the portal azygous disconnection only （a simple group）, and the re- suits of the follow-up were analyzed. Results The effective rates were 81.3% （61/75） in the combined group and 30.1% （25/83） in the simple grouup, and the rebleeding rates were 2.7% （2/75） and 12.0% （10/83） in the two groups, respectively （P 〈 0.01 ）. Conclusion The ladder ring suture of the esophageal mucosa vascular combined with Nissen＇ s fundoplication is effective and safe on the prevention from rebleeding of patients with advaced schistosomiasis.
出处
《中国血吸虫病防治杂志》
CAS
CSCD
2013年第4期431-432,共2页
Chinese Journal of Schistosomiasis Control
关键词
晚期血吸虫病
梯状环形缝扎
胃底折叠术
再出血
Advaced schistosomiasis
Ladder ring suture
Nissen＇ s tundoplication
Rebleeding
