改良Hassab手术预防食管胃底曲张静脉出血的临床研究  

Modified Hassab procedure in the primary prophylaxis of variceal hemorrhage

作　　者：王其[1] 刘飞龙[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院肝脏外科中心,湖北武汉430030

出　　处：《中国现代普通外科进展》2014年第12期938-941,共4页Chinese Journal of Current Advances in General Surgery

基　　金：卫生部行业基金(201002015)

摘　　要：目的:探讨改良H assab手术预防食管胃底曲张静破裂出血的远期疗效。方法:回顾性分析1996年1月—2010年12月间施行的896例改良H assab手术,探讨其预防食管胃底曲张静脉破裂出血的远期疗效。结果:围手术期死亡率为0.1%(1/896)。术后1年复查,食管曲张静脉消失率为76.2%(682/895),改善率为23.1%(207/895),有0.7%(6/895)的患者术后食管曲张静脉无显著变化。胃底曲张静脉消失率为96.6%(865/895),改善率为3.4%(30/895)。术后1、3及5年食管胃底曲张静脉出血率分别为0、4.9%(44/895)及7%(63/895)。结论:改良H assab手术是预防肝硬化患者食管胃底曲张静脉破裂出血的较好方法。Objective： To evaluate a modified gastro-esophageal decongestion（MGED）procedure in preventing first bleed. Methods： A MGED procedure was performed in 896 patients with esophageal varices. The preventing efficiency of first bleed and perioperative complications were retrospectively studied. Results： Perioperative mortality occurred in 0.1%（1/896）patient. One year af-ter operation, esophageal varices disappeared in 76.2%（682/895） patients, diminished in size in23.1%（207/895）patients, and remained unchanged in 0.7%（6/895）patients. The bleed rate was 0,4.9%（44/895）and 7%（63/895） in 1 year, 3 years and 5 years, respectively. Conclusion： The MGED procedure is safe and effective for preventing of variceal bleed.

关 键 词：肝硬化 食管胃底静脉曲张 断流术 

分 类 号：R657.31[医药卫生—外科学]