改良Sugiura术治疗门静脉高压症30例分析  

Clinical effects of modified Sugiura surgical operation on the portal hypertension in 30 patients

作　　者：方喜[1] 李进展[1] 李颖[1] 蔡楚东[1] 

机构地区：[1]汕头市中心医院普通外科,广东省汕头515041

出　　处：《中国基层医药》2009年第1期71-72,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨改良Sugiura术治疗门静脉高压症的临床疗效。方法回顾性分析30例施行改良Sugiura术治疗门静脉高压症患者的临床资料。结果术中分别测量自由门静脉压力（FPP）：切脾前为（3．06±0．39）kPa，切脾后为（3．07±0．32）kPa，离断术后为（3．22±0．31）kPa，切脾后与切脾前差异有统计学意义（P〈0．01），但与离断术后差异无统计学意义（P〉0．05）。2例早期出现肝性脑病，27例术后3～6个月食管静脉曲张基本消失，1例术后16个月死于肝硬化恶变。有25例患者随访3年，2例再出现上消化道出血，远期未发现肝性脑病患者。结论改良Sugiura术是治疗门静脉高压症较为理想的有效术式，能降低术后远期再出血率、静脉曲张复发率及肝性脑病发生率。Objective To explore the clinical curative effect of the modified Sugiura surgical operation on the portal hypertension. Methods Look back of sex analysis the Sugiura surgical operation of 30 enforcement improvement to cure a door the disease suffcrer＇s clinical data of the vein high pressure. Results Measure a free door vein pressure（FPP） respectively in the Sugiura operation：slice before the Pi FPP for （3.06 ± 0.39）kPa, shce after the Pi FPP for （ 3.07 ± 0. 32 ） kPa, leave to break after the surgical operation FPP for （ 3.22 ±0. 31 ） kPa, showed difference （P 〈 0. 01 ） very much with slice before the Pi after slicing Pi, but with leave to break surgical iperation behind do not show difference （P 〉 0.05 ）. 2 earlier period appear the liver brain disease ,27 patients 3 -6 eclipse of the moon tube basic disappearance of the varixes after the surgical operation, die in cirrhosis after a surgical operation bad for 16 months change. There are 25 sufferers with visit for 3 years,2 appear again to bleed up the digest way and the forward didn＇t discover the liver brain patient＇s. Conclusion Improve the Sugiura surgical operation cures the disease more ideal valid surgical operation type of a vein high pressure ,long-term after can lower surgical iperation again the issue of blood rate, varix relapse the attack source of vitality rate of rate and liver brain.

关 键 词：高血压 门静脉 食管和胃静脉曲张 吻合术 外科 

分 类 号：R657[医药卫生—外科学]