保脾断流术治疗门静脉高压症食管胃底静脉曲张破裂出血的远期疗效观察  

Long-Term Therapeutic Effect of Esophagogastric Devascularization Without Splenectomy in Treatment of Portal Hypertension with Esophagogastric Varices Hemorrhage

作　　者：王东[1] 倪彦彬[1] 朱继业[1] 冷希圣[1] 

机构地区：[1]北京大学人民医院肝胆外科,北京100044

出　　处：《中国普外基础与临床杂志》2015年第11期1302-1304,共3页Chinese Journal of Bases and Clinics In General Surgery

基　　金：卫生行业科研专项资金资助项目(编号:201002015)~~

摘　　要：目的探讨保脾断流术治疗门静脉高压症食管胃底静脉曲张破裂出血的远期疗效。方法对我院2008~2013年期间所行的保脾断流术患者进行门诊或者电话随访,观察食管胃底静脉曲张缓解、再出血、生存情况及术后远期并发症。结果共完成保脾断流术治疗门静脉高压症食管胃底静脉曲张破裂出血患者32例,围手术期死亡1例。23例患者获得随访,平均随访时间45.5个月（10~81个月）,随访期内有7例发生术后再出血,5例死亡,3例新发门静脉血栓,2例发生食管吻合口狭窄。结论保脾断流术在特定的患者中,是一种有效的治疗门静脉高压症食管胃底静脉曲张破裂出血的术式。Objective To evaluate long-term therapeutic effect of esophagogastric devascularization without splenectomy in treatment of portal hypertension with esophagogastric varices hemorrhage.Methods The patients who took esophagogastric devascularization without splenectomy from 2008 to 2013 were followed-up in clinic or through phone.The remission of esophagogastric varices,rebleeding,survival and long-term postoperative complications were observed.Results A total of 32 patients were taken esophagogastric devascularization without splenectomy in Peking University People＇s Hospital from 2008 to 2013.One patient died during the perioperative period.Twenty-three patients were followed-up for 10- 81 months with an average 45.5 months,of whom 7 patients had rebleeding,5 patients died,3 patients had new onset portal vein thrombosis,2 patients had esophageal anastomotic strictures.Conclusion Esophagogastric devascularization without splenectomy is an effective method in treatment of portal hypertension with esophagogastric varices hemorrhage in selected patients.

关 键 词：门静脉高压症 选择性贲门周围血管离断术 脾脏 

分 类 号：R657.3[医药卫生—外科学]