脾切除加食管胃底切除术治疗门静脉高压症26例临床报告  

Splenectomy and Gastric Fondusectomy Plus Distal Esophagectomy for Treatment of Portal Hypertension

作　　者：张劲光[1] 徐光勋[1] 郭庆良[1] 武聚山[1] 钱智玲[2] 郭文斌[3] 吴健雄[4] 

机构地区：[1]北京佑安医院肝胆外科 [2]北京佑安医院肝胆内科 [3]大连市中心医院肝胆外科 [4]中国医学科学院肿瘤医院肝胆外科

出　　处：《首都医科大学学报》2004年第2期253-255,共3页Journal of Capital Medical University

摘　　要：采用择期脾切除加食管下段胃底切除术治疗门静脉高压症上消化道出血 2 6例。 2 6例患者均为肝炎后肝硬化伴有比较严重的食管胃底静脉曲张及 1次以上出血史者。结果 :全部病例均获随访 ,平均随访 5 2个月。随访中无食管曲张静脉复发出血 ,无围手术期死亡 ,效果满意。提示 :脾切除加食管下段胃底切除术能较易为患者所接受 ,疗效较好 ,复发出血率低 ,止血确切 ,是治疗门静脉高压症比较理想的一种手术方法。The objective was to evaluate the effect of transabdominal gastric fundusectomy plus distal esophagectomy in patients suffering from portal hypertension. Twenty-six cases of portal hypertension with a history of bleeding esophageal varix were treated by this procedure on elective basis. All cases were followed up for an average of 52 months. There was no recurrent hemorrhage nor perioperative mortality. This procedure is well tolerated by the patients with definite immediate effect and low recurrent bleeding rate.

关 键 词：脾切除 食管胃底切除术 治疗 门静脉高压症 临床报告 

分 类 号：R657.34[医药卫生—外科学]