门奇断流术治疗门脉高压症合并胸段食管静脉曲张出血的讨论  

The discussion about the treatment of portal hypertension complicated with thoracic esophageal varices by the esophagogastric devascularization

作　　者：曾杰[1] 

机构地区：[1]四川省人民医院急救中心外科,四川成都610072

出　　处：《四川医学》2011年第6期827-829,共3页Sichuan Medical Journal

摘　　要：目的讨论贲门周围血管离断术治疗门脉高压症合并胸段食管静脉曲张、出血的效果。方法对我科2000～2005年间经贲门周围血管离断术治疗83例进行回顾性分析。结果贲门周围断流术术后随访74例,5年再出血率6.8%(5/74),术后近期(术后2周内)病死率2.4%(2/83)。行断流术的患者,术前有胸段食管静脉曲张患者与仅有腹段食管静脉曲张者的术后再出血率差异无统计学意义(P>0.05)。结论对胸段食管静脉曲张、出血患者,门奇断流术是可以达到治疗目的的,关键是做到彻底的断流。Objective To discuss the effect of the therapy of the portal hypertension complicated with thoracic esophageal varices and bleeding by the esophagogastric devascularization.MethodsRetrospective clinical research has been made on 83 cases which were dealt in the esophagogastric devascularization from 2000 to 2005.ResultsThe rate of rebleeding is 6.8%（5/74）（within 5 years after the operation）,the mortality after operation is 2.4%（2/83）.The rebleeding rates between the cases with thoracic esophageal varices and that with only abdomenal esophageal varices have no significant difference after esophagogastric devascularization（P〉0.05）.ConclusionThe esophagogastric devascularization is effective for the case,which suffers from portal hypertension complicated with thoracic esophageal varices or bleeding,and the key is completed devascularization.

关 键 词：肝硬化 门脉高压症 断流术 

分 类 号：R657.3[医药卫生—外科学]