摘要
目的 探讨改良Sugiura术治疗门静脉高压症的疗效。方法 对 1 2 0例门静脉高压症行改良Sugiura术患者临床资料进行回顾性分析。结果 术后近期止血效果确切 ,手术死亡率为 0 8% ,随访率为 90 8% ,随访时间 6个月～ 9年 ,平均随访 4年 6个月。肝性脑病发生率为 0 9% ,再出血率为 1 8%。术后所有患者食管下段静脉曲张消失或者明显好转。无吻合口瘘和狭窄发生。结论 改良Sugiura术是治疗门静脉高压症的一种合理可取的术式 ,其疗效满意 ,操作并不复杂 ,值得临床推广应用 ,而肝功能Child分级。
Objective\ To assess the effect of modified Sugiura operation for treating portal vein hypertension.Methods\ 120 cases of portal vein hypertension treated by modified Sugiura operation were analyzed retrospectively.Results\ Immediate effect on the hemorrhage stopping and recent response of the patients were satisfactory.Rate of postoperational mortality was 0.8%. 109 patients were followed up for the mean time 4.5 years .The hepatic encephalopathy incidence was 0.9% and recurrent variceal bleeding ratio 1.8%. All patients (100.0%,89/89) showed that esophageal varices disappeared or remarkably ameliorated.No anastomotic leakage or stricture was observed. Conclusion\ Modified Sugiura operation is an effective way for treating portal vein hypertension.
出处
《医师进修杂志》
北大核心
2003年第3期18-19,共2页
Journal of Postgraduates of Medicine
关键词
高血压
门静脉
外科手术
断流术
hypertension
portal vein
Surgical
operative
evascularization
