门静脉高压症脾功能亢进并胆石病的外科处理  

Surgical mamagment of hyperplenism of portal hypertension accompanied with biliary tract diseases

作　　者：朱为群[1] 唐先淮[2] 莫风珠[3] 

机构地区：[1]广州市第八人民医院普外科,广东广州510060 [2]蚌埠市第二人民医院外科 [3]广州市番禺区中医院外科

出　　处：《中国基层医药》2005年第7期847-848,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的评价不同手术方法治疗门静脉高压症脾功能亢进并胆石病的效果。方法回顾性分析27例门静脉高压症脾功能亢进并胆石病患者临床资料。结果同期手术(CS)17例,后期手术(PS)10例,对照组48例。门静脉高压症脾亢并胆石病同期手术与后期手术相比较术中出血量、肝功能改变和腹腔感染等方面差异无显著意义(P>0·05)。结论门静脉高压症脾亢并胆石病同期手术是安全的。同期手术或后期手术取决于肝功能分级、机体状况和手术者手技。Objective To evaluate the effect of various surgical procedure on hypersplenism of portal hypertension accompanied with gallstones. Methods 27 patients with hypersplenism of portal hypertenion accompanied with biliary tract diseases in our department by operation were retrospectively analyzed. Results Of all the patient,17 had co-splenectomy（CS）, 10 had post-splenectomy（PS） and 48 had single-splenemy（SS）. There was no operative mortality. CS was similar to PS in operation bleeding, infection bleow the diphragm and liver function（P〉0.05）.Conclusions co-splenemctomy can be used safely in the hypersplenism of portal hypertension accompanied with billiary tract disease. CS or PS was judged from Child A and B patients and operative method.

关 键 词：门静脉高压症 脾功能亢进 并发症 胆石病 外科手术 治疗 

分 类 号：R657.3[医药卫生—外科学]