摘要
目的:探讨非选择性贲门固围血管离断术以及选择性贲门周围血管离断术对门静脉高压患者的疗效。方法:102例门静脉高压患者随机分为实验组及对照组,实验组采用选择性贲门固围血管离断术治疗,对照组采用非选择性贲门固围血管离断术进行治疗,对2组患者治疗前后自由门静脉压(FPP)、门静脉血流以及肝动脉血流进行分析,同时对患者术后并发症以及5年随访中生存率进行比较。结果:实验组患者接受治疗后其FPP降低幅度、门静脉血流以及肝动脉血流等指标均优于对照组;实验组患者术后并发症的发生率低于对照组,实验组患者1年存活率为98%,3年存活率为96%,5年存活率为92%,明显高于对照组的94%、88%、78%。结论:对门静脉高压患者采用选择性贲门固围血管离断术进行治疗可有效改善患者预后,提高患者5年存活率。
wObjective： To investigate the cardia solid circumference of the non-selective vascular amputation surgery and selective pericardial blood vessel from the efficacy of off surgery in patients with portal hypertension.Methods： 102 patients in our hospital with portal hypertension were randomly divided into experimentalgroup and controlgroup.The experimentalgroup was the treatment of the selective cardia solid Waivascular amputation surgery,the control group selected the non-selective the cardia solid Waivascular amputation surgery treatment.Then it was analyzed by FPP,the blood of the portalvein and hepatic artery blood flow in the two groups of patients before and after treatment,while the survival rate in patients with postoperative complications and 5-year follow-up.Results： The experimentalgroup patients were treated,their FPP decreased portalvenous flow and hepatic arterialblood flow and other indicators are better than the controlgroup;the occurrence of postoperative complications in patients in the experimental group than the control group,experimental group patients 1,3 and 5-year survival98%,96% and 92% was significantly higher than 94%,88%,78%of controlgroup.Conclusion： It is effectively improved patient outcomes and improved patients＇ 5-year survivalby selective portalhypertension in patients with the cardia solid Waivascular amputation surgery treatment.
出处
《中国现代普通外科进展》
CAS
2012年第11期873-876,共4页
Chinese Journal of Current Advances in General Surgery
关键词
门静脉高压
贲门固围血管离断术
选择性
非选择性
Portalhypertension·Paraesophagogastric devascularization·Selective·Non-selective
