手术治疗胃肠肿瘤合并肝硬化门脉高压征的临床疗效观察  

Clinical efficacy observation on surgical treatment of gastrointestinal tumors combined with cirrhosis portal hypertension levy

作　　者：蔡卫东 

机构地区：[1]湖南省武冈市展辉医院外一科,湖南武冈422400

出　　处：《中国现代医生》2012年第34期138-139,共2页China Modern Doctor

摘　　要：目的探讨手术治疗胃肠肿瘤合并肝硬化门脉高压征的临床疗效。方法选取我院收治的胃肠肿瘤合并肝硬化门脉高压征患者78例,随机分为观察组和对照组。观察组根据患者病情给予针对性手术,对照组给予脾切除贲门周围血管离断术。结果在基本治愈率和总有效率方面,观察组较对照组均显著提高,而在无效率方面,观察组较对照组则明显降低,并且均有统计学意义(P<0.05)。结论术前明确肿瘤类型并评估肝功能和门静脉高压程度,对于胃肠肿瘤合并肝硬化门脉高压征患者手术方案的制定以及临床疗效的改善均具有积极的现实意义。Objective To probe into the clinical efficacy of surgical treatment of gastrointestinal tumors combined with cir- rhosis portal hypertension levy. Methods Selected 78 gastrointestinal tumors combined with cirrhosis portal hypertension levy patients in our hospital. All the patients divided into observation group and control group randomly. The patients in observation group were gave targeted surgery based on the clinical conditions. The patients in control group were treated with splenectomy pericardial blood vessel disarticulation. Results Compared with control group, patients in observation group the basic cure rate and the total efficiency rate were improved significantly, while the inefficiency rate was reduced significantly, there were statistically significant （P 〈 0.05）. Conclusion Before surgery to clear the tumor types and assess- ment of liver function and portal hypertension degree has positive and practical significance for program development the clinical efficacy improvement of patients with gastrointestinal tumors combinged with cirrhosis portal hypertension levy.

关 键 词：胃肠肿瘤 肝硬化门脉高压 手术 

分 类 号：R735[医药卫生—肿瘤]