摘要
目的:探讨采用贲门周围血管离断术治疗门脉高压急性大出血的临床疗效。方法:分析本院于2009年1月-2013年1月行贲门周围血管离断术治疗的38例门脉高压急性大出血患者的临床资料。结果:所有患者均顺利完成手术,达到满意止血的效果,无明显并发症发生,但最终3例患者死亡,截止到最终随访总体治愈率为92.1%(35/38);所有患者术后门静脉压值(27.9±5.8)cm H2O明显低于术前的(34.2±6.3)cm H2O,差异有统计学意义(t=4.352,P<0.05)。结论:贲门周围血管离断术是治疗门脉高压急性大出血的有效术式,但应注意手术时机和手术适应证的把握。
Objective：To investigate the clinical curative effect of pericardial devascularization in treatment of portal hypertension with acute hemorrhage.Method：The clinical data of 38 portal hypertension patients with acute massive hemorrhage treated with pericardial devascularization in our hospital from January 2009 to January 2013 were retrospectively analyzed.Result：All patients were successfully operated to achieve a satisfactory hemostatic effect,no significant complications occurred and three patients eventually died,until the final follow-up overall cure rate was 92.1%（35/38）.The portal vein pressure of all patients after surgery was（27.9±5.8）cm H2O,it was significantly lower than（34.2±6.3）cm H2O of before surgery,the difference was statistically significant（t=4.352,P〈0.05）.Conclusion：Pericardial devascularization is a valid surgical in treatment of portal hypertension with acute hemorrhage,but should pay attention to the timing of surgery and surgical indications.
出处
《中国医学创新》
CAS
2014年第29期130-132,共3页
Medical Innovation of China
关键词
门脉高压
急性大出血
贲门周围血管离断术
Portal hypertension
Acute hemorrhage
Pericardial devascularization
