摘要
目的观察脾切除联合贲门周围血管断离术与分流术治疗门静脉高压的临床疗效。方法2011年1月～2013年4月，昆明医科大学第一附属医院治疗门静脉高压患者39例，根据手术方法不同对患者进行分组。观察组患者19例，采用断流术治疗门静脉高压；对照组20例，采用分流术治疗门静脉高压。术后后比较患者常规项目和并发症情况，并对比2组患者的临床疗效。结果患者近期内肝功改变差异无统计学意义，观察组再出血率较高，对照组部分患者发生肝性脑病。结论断流术和分流术治疗门静脉高压各有自身优势，断离术即刻止血效果较好，又可维持肝脏血流，术后发生肝性脑病率低，因操作较为简单适于基层医院临床推广。
Objective To observe the clinical effects of different surgery methods in treating portal hypertension. Methods From January 2011 to April 2013, our hospital had treated 39 patients with portal hypertension. We divided the patients into different groups according to different surgery methods operated on them. In the observe group, 19 patients with portal hypertension were treated with devascularization. In the control group, 20 patients with portal hypertension were treated with shunts.After the operation, the reguar items, complications and the clinical effects on patients in the two groups were compared. Results There was no statistical difference in the recent change of the patients＇ liver function. The rehemorrhage rate in the observe group was higher than the control group. Some patients in the control gorup had hepatic encephalopathy. Conclusion Both the two surgery methods have their own advantages. The devascularization method has a better effect on stopping bleeding immediately. It can keep the blood circulation in the liver and has a lower rate of occuring hepatic encephalopathy. Because it is easier to be operated, it is suitable to be prorated.to the basic hospital.
出处
《当代医学》
2014年第17期88-89,共2页
Contemporary Medicine
关键词
门静脉高压
断离术
分流术
对比研究
Portal hypertension
Devascularization
Shunts
Comparative Study
