经腹食管下段胃底切除术治疗门静脉高压症的临床研究  

Transabdominal gastric fundusectomy plus distal esophagectomy for the treatment of portal hypertension

作　　者：戴建青[1] 周嘉良[1] 管惟苓[1] 

机构地区：[1]南京医科大学附属苏州医院普外科,215001

出　　处：《中华普通外科杂志》2002年第3期137-138,共2页Chinese Journal of General Surgery

摘　　要：目的研究经腹食管下段胃底切除术治疗门静脉高压症的临床效果。方法采用择期经腹食管下段胃底切除术治疗门静脉高压症 18例。患者均为肝炎后肝硬化伴有比较严重的食管胃底静脉曲张及 1次以上出血史。结果全部病例均获随访 ,平均随访 46个月。随访中无食管曲张静脉复发出血 ,无手术近期死亡 ,效果满意。结论经腹食管下段胃底切除术能较好地为患者耐受 ,复发出血率低 ,止血确切 。ObjectiveTo evaluate the effect of transabdominal gastric fundusectomy plus distal esophagectomy in patients suffering from portal hypertension. MethodsEighteen portal hypertension patients with a history of bleeding esophageal varix were treated by this procedure on elective basis.ResultsAll cases were followed up for an average of 46 months. There was no recurrent hemorrhage and no mortality during the follow-up.ConclusionsThis procedure is well tolerated by the patients with definite immediate effect and low recurrent bleeding rate.

关 键 词：食管切除术 胃切除术 临床研究 经腹食管下段胃底切除术 门脉高压症 

分 类 号：R657.3[医药卫生—外科学]