门脉高压断流术后食管下段及贲门功能紊乱的防治  

Treatment of the Disturbance of Lower Esophagus and Cardiac with Modified Portoazygous Devascularization

作　　者：鲍广建[1] 伦增军[1] 杜华英[1] 

机构地区：[1]山东省枣庄市立医院普外科,山东枣庄277102

出　　处：《河北医学》2009年第1期32-35,共4页Hebei Medicine

摘　　要：目的:探讨门脉高压断流手术后食管下段及贲门功能的变化,以及改良术式对预后的影响。方法:选择门脉高压上消化道出血的76例病人为研究对象,随机分为研究组(保留迷走神经、重建贲门周围支持结构)及对照组(传统手术术式),观察两组病人手术后返流症状、消化道压力测定及返流性食管炎的发生。结果:研究组病人在手术后返流症状、消化道压力测定以及返流性食管炎的发生率等结果上均明显优于对照组。结论:在施行贲门周围血管离断术时,保持迷走神经干的完整、重建胃底支持结构能够使食管、胃的运动、排空功能大致正常,有效减少胃食管返流的发生,改善病人的生活质量。Objective： To investigate the disturbance of lower esophagus and cardiac after portoazygous devascularization and the effect of modified operation. Method ： 76 patients with upper gastrointestinal hem- orrhage due to portal hyertention were selected , and randomly assigned with two grotlps to observe the symp- toms of refluxion , determine the pressure of upper digestive tract . Result： The symptoms of patients in group of modified operation were better to control group . Conclusion： Modified portoazygous devasculariza- tion can reduce the incidence of gastroesophageal reflux in patients after operation .

关 键 词：门脉高压断流术 胃食管返流 

分 类 号：R657.34[医药卫生—外科学]