摘要
目的评价改良Sugiura手术的疗效。方法将2004年1月～2009年3月住院的188例门静脉高压症患者随机分为两组,行贲门周围血管离断术94例为对照组,改良Sugiura手术94例为研究组。将两组的围术期死亡率、食管胃底瘘、近期内再出血、术后食管胃底曲张静脉消失情况等进行对比研究。结果对照组围术期死亡4例(4.26%),发生食管胃底瘘3例(3.19%),近期内再出血5例(5.32%);研究组围术期无死亡病例,发生食管胃底瘘1例(1.06%),无近期内再出血病例。对照组术后食管胃底曲张静脉消失者61例(64.89%),显著改善者33例(35.11%);研究组术后食道胃底静脉曲张消失者93例(98.94%),显著改善者1例(1.06%),两组比较,P均<0.05,差异均有统计学意义。结论改良Sugiura手术后再出血率和围术期死亡率低,并发症少,是一种值得推广的门静脉高压症手术方法。
Objective To evaluate the effect of modified Sugiura procedure in treatment of portal hypertension.Methods One hundred and eighty-eight patients with portal hypertension in our hospital from January 2004 to March 2009 were randomly divided into two groups,the control group were treated with extensive devascularization around the cardia,the study group were treated with modified sugiura procedurein,then the perioperative death rate,Esophagogastricn fistula,recurrent variceal bleeding,esophageal varices disappeared of two groups were analyzed and compared.Results Four cases（4.26%） of control group during perioperative period were dead,3 cases（3.19%） were with Esophagogastricn fistula,5 cases（5.32%） were with recurrent variceal bleeding,1 case（1.06%） of control group was with Esophagogastricn fistula,61 cases（64.89%） of control group were with esophageal varices disappeared,33 cases（35.11%） were significantly improved,1 case（1.06%） of study group was with Esophagogastricn fistula,93 cases（98.94%） of control group were with esophageal varices disappeared,1 case（1.06%） were significantly improved,these items of two groups were compared,all P 0.05,there were all significant differences.Conclusion Modified Sugiura procedure is relatively simple.The rate of complication,rebleeding is low.It＇s a deserved popularized method.
出处
《中国当代医药》
2012年第12期34-35,共2页
China Modern Medicine
