联合应用Hassab手术和Linton手术并附加吻合口固定治疗门脉高压症  

REAT PORTAL HYPERTENSION WITH HASSAB’S PROCEDURE AND LINTON’S PROCEDURE AND WITH ADDITIONAL SHUNT FIXATION

作　　者：薛焕洲[1] 张宏伟[1] 张颖霞[1] 鲁自祥[1] 

机构地区：[1]河南省人民医院肝胆外科

出　　处：《河南医学研究》1996年第1期48-51,共4页Henan Medical Research

摘　　要：作者联合应用Ｈａｓｓａｂ手术和Ｌｉｎｔｏｎ手术治疗肝硬变门静脉高压症６９例，其中３６例附加吻合口固定。进行了１～４年的随访并观察了术后血液动力学变化。结果：术后均未发生再出血，均有食管静脉曲张消失或减轻；附加吻合口固定组术后未见吻合口扩张，门静脉血流量的减少大多在３０％以内，无发生肝性脑病；未加吻合口固定组术后３月吻合口扩张１９例，门静脉血流量的减少大于３０％，发生肝性脑病４例；两组比较差异有显著性。提示断流术加小口径分流术治疗肝硬变门静脉高压症的合理性和附加吻合口固定的必要性。cases of portal hypertension were treated with Hassab's procedure andLinton’s procedure, in which 36 cases were treated with additional shunt fixation. Wecarried out a folled-up survey for 1～4years,and observed the postoperative homodynamics.Results showed that none had postoperative recurrent bleeding. Esophageal vericesdisappeared or relieved ineach of them. In the additional shunt fixation group,no shuntargmentation was observed,portal drainage reducedunder 30%,and no encephalopthyhappened. In the group without additional shunt fixation, shunts of 19 cases augmented 3months after operation. Portal drainage reduced over 30%. Enoephalopathy was observed in4 cases. A significant difference was showed in these two groups. Author indicated thereasonablenass of treating portal hypertension with portoazygos disconnection and small boreshunt operation, and the necessity of additional shunt fixation.

关 键 词：门脉高血压 门奇断流术 门脉系统分流术 吻合术 

分 类 号：R657.340.5[医药卫生—外科学]