摘要
目的比较经腹改良Sugiura术与Hassab术治疗门静脉高压症的疗效。方法将我院2002年1月～2008年3月手术治疗的门静脉高压症病人随机分为经腹改良Sugiura术(研究组,25例)与Hassab术(对照组,28例)两组,对比研究两组的手术安全性、术后恢复情况等。结果两组均无手术死亡病例。研究组在手术时间、术后恢复情况、术后并发症方面与对照组比较无显著性差异(P>0.05)。所有病例均获得随访,平均随访36个月,研究组再出血率为4.0%,对照组再出血率为17.9%(P<0.01);食管静脉曲张的消除率研究组为100%,对照组为57.1%(P<0.01)。结论经腹改良Sugiura术是治疗门静脉高压症的一种有效术式,它使断流更为彻底,而操作并不复杂,值得临床推广应用。
Objective To compare the therapeutic effects of transabdorninal modified Sugiura vs Hassab in the treatment of portal hypertension. Methods The patients with portal hypertension ad- mitted on our hospital from Jan. 2002 to March 2008 were randomly divided into transabdominal modi- fied Sugiura group（ n = 25 ） and Hassab group（n = 28）. Operation safety, postoperative recovery, compli- cations,etc. , were compared between two groups. Results There was no operative death in both groups. There was no significant difference in operative time, time, postoperative recovery and occurrence of complications between the two groups（P〉0. 05）. All patients were followed up for an average of 36 months. The re-bleeding rate in the transahdominal modified Sugiura group and Hassab broup was 4. 0 % and 17. 9% respectively with the difference being significant（P〈0. 01 ）. The varicose veins eliminating rate the transabdominal modified Sugiura group and Hassab broup was 100% and 57. 1% respectively（P〈0. 01）. Conclusion Transabdominal modified Sugiura is an effective method for the treatment of portal hypertension.
出处
《腹部外科》
2008年第5期300-301,共2页
Journal of Abdominal Surgery
关键词
高血压
门静脉
吻合术
外科
食管和胃静脉曲张
Hypertension, portal
Anastomosis, surgical
Esophageal and gastric varices
