改良脾肺固定术治疗门静脉高压症的远期效果  

Long-term results of modified spleno-pneumopexy for portal hypertension

作　　者：许培钦[1] 张水军[1] 叶学祥[1] 程远峰[1] 冯留顺[1] 马秀现[1] 赵龙栓[1] 秦保明[1] 

机构地区：[1]河南医科大学第一附属医院,中国人民解放军郑州医院

出　　处：《普外临床》1996年第6期332-335,共4页

摘　　要：自１９８３年５月至１９９５年１１月，作者等采用改良脾肺固定术治疗门静脉高压症２０２例。本手术在Ａｋｉｔａ手术的基础上，由胸腹部原两个切口简化为一个切口，于近贲门部结扎胃冠状静脉诸支，将脾上极和肺底作成粗糙面，而后做脾肺固定缝合；将大网膜沿横结肠作游离并分作两叶，然后拉向胸腔，缝合于肺表面。本组２例死亡，死亡率为０．９９％，除６例胸腔积液外，无其它严重并发症。随访７个月至１２年，１３２例有明显效果，５６例改善，总有效率为９３．１％，１４例无变化。我们认为，本手术操作简便、安全、有效、容易推广。Abstract May 1983 to nov. 1995, modified splenopneumopexy was performed for 202 Patients of portal hypertension. This procedure was based on Akita operation, and the 2 incisions was simplified to 1, the branches of gastric coronry vein near to the cardia was ligated. The surface of the spleen serosa and the left pulmonary base was made rough, then the lung was fixed to the spleen. The greater omentum with vascular pedicle was splited in halves,and pulled into the thoraxic cavity and sutured to the surface of the lung. Two patients died postoperatively with the mortality of 0. 99% . Postoperative compli cations included pleural effusion in 6 patients. Seven months to 12 years followup showed that good results in 132 patients ,and fair in 56,the overall effective rate was 93. 1%.

关 键 词：门静脉高压症 肝静脉血栓形成 脾肺固定术 

分 类 号：R657.340.5[医药卫生—外科学]