| 引用本文： |
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丛壮志,周主青,侯霞,等.区域性断流治疗门静脉高压的临床应用[J].同济大学学报（医学版）,2013,34(1):73-76. [点击复制]
- CONG Zhuang-zhi,ZHOU Zhu-qing,HOU Xia,et al.Regional devascularization in treatment of portal hypertension[J].同济大学学报（医学版）,2013,34(1):73-76. [点击复制]
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| 摘要: |
| 目的总结区域性断流术治疗门静脉高压症的手术方法及治疗效果。方法对2006年1月至2011年12月108例门静脉高压患者资料进行回顾性分析。其中40例行区域性断流术，68例行贲周血管离断术。结果区域性断流组的自由门静脉压力（free portal pressure，FPP），住院时间，术中出血量，感染率，门脉血栓发生率，肝性脑病发生率，1年、2年再出血率，1年、2年病死率均低于贲门周围血管离断组；肝功能恢复情况也要好于贲门周围血管离断组。结论区域性断流术是治疗门脉高压症上消化道出血的有效手段，术中做到精细断流结合围手术期综合治疗和序贯治疗可以改善预后。 |
| 关键词: 门静脉高压 断流术 胃底静脉曲张 出血 |
| DOI：10.3969/j.issn1008-0392.2013.01.016 |
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| 基金项目: |
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| Regional devascularization in treatment of portal hypertension |
| CONG Zhuang-zhi,ZHOU Zhu-qing,HOU Xia,ZHAO Zhong-xin |
| (Dept.of Surgery,East Hospital,Tongji University,Shanghai 200120,China) |
| Abstract: |
| Objective To evaluate the therapeutic effect of regional devascularization for portal hypertension. Methods One hundred and eight patients with portal hypertension underwent surgical treatment from January 2006 to December 2011, among them 40 patients received regional devasculization and 68 patients received periesophagogastric devascularization. The results were retrospectively analyzed. Results The free portal pressure （FPP）, length of stay, intraoperative bleeding, infection rate, incidence of portal thrombosis and hepatic encephalopathy, the rates of rebleeding and fatality within 1 and 2 years were lower, and the recovery of liver function was better in regional devascularization group than those in perisophagogastric devascularization group. Conclusion Regional devascularization is an effective surgical modality in treatment of portal hypertension with upper gastrointestinal bleeding, which may improve the prognosis of patients. |
| Key words: portal hypertension disconnection esophageal and gastric fundus varices hemorrhage |
