摘要
目的 研究不同断流范围对自由门静脉压力 (FPP)的影响及其临床意义。方法 在行经腹食管下段胃近端切除术治疗门静脉高压症的手术不同阶段测量 FPP。结果 贲门周围血管离断术与模拟食管下段胃近端切除术对 FPP的影响均有统计学意义 (P<0 .0 1 ) ,他们之间的交互作用有统计学意义 (P<0 .0 5 )。结论 以 Sugiura手术及经腹食管下段胃近端切除术为代表的联合断流术断流效果彻底 。
Objective To study effects of operative methods of portaazygous devascularization on free portal pressure(FPP) and to evaluate their clinical value.Methods The terminal esophagoproximal gastrectomy(TEPG) with intensive devascularization and splenectomy was performed therapeutically on 9 patients with esophageal varices in posthepatic cirrhosis.FPPs were respectively measured during different phases of the operation and the data were studied.Result The two main effects of the devasculaization and simulant terminal esophagoproximal gastrectomy(STEPG) on FPP were satistically significant( P <0.01),so is their interaction( P <0.05).Conclusions Porough portaazygous devascularizations including Sugiura's operation and TEPG would be the first chocie for the patients with esphageal varices caused by posthepatitic cirrhosis.
出处
《肝胆外科杂志》
2003年第6期435-436,403,共3页
Journal of Hepatobiliary Surgery
关键词
门静脉高压症
门奇断流术
析因设计
portal hypertensiom
portaazygous devascularization
factorial design
