开腹脾切除联合贲门血管离断术治疗门静脉高压的临床分析  

Clinical Analysis of Open Splenectomy Combined With Cardiac Vascular Disconnection in the Treatment of Portal Hypertension

作　　者：巩固 

机构地区：[1]江苏省盱眙县人民医院普外科,211700

出　　处：《中国继续医学教育》2015年第33期109-110,共2页China Continuing Medical Education

摘　　要：目的探析开腹脾切除联合贲门血管离断术治疗门静脉高压的临床疗效。方法回顾性分析我院2010年1月~2015年1月收治的肝硬化所致门静脉高压患者46例,行常规开腹脾脏切除联合贲门周围血管离断术,分析术后治疗效果、住院时间及并发症发生情况。结果本组手术时间（158.91±28.33）min,术中出血量（629.15±64.63）ml、术后引流量（864.25±18.07）ml,住院时间（16.58±3.75）d;术前VAS评分（8.75±0.71）分、术后1 d（6.92±0.95）、术后3 d（5.26±0.65）分、术后5 d（3.71±0.98）分;腹腔出血2例,肺部感染2例,胰腺炎3例,门静脉栓塞1例,肠梗阻1例,所有患者经对症保守治疗或二次手术均治愈。结论开腹脾切除联合贲门血管离断术治疗门静脉高压的临床疗效确切。Objective Analysis of open splenectomy combined with pericardial blood vessels from breaking clinical efficacy in the treatment of portal hypertension. Methods A retrospective analysis of our hospital from January 2010 to January 2015 due to cirrhosis treated 46 patients with portal hypertension, routine open splenectomy combined with pericardial devascularization surgery postoperative treatment, hospitalization and concurrency disease occurrence. Results The operative time（158.91±28.33） min, blood loss（629.15±64.63） ml, postoperative drainage（864.25±18.07） ml, hospitalization time（16.58±3.75） d, preoperative VAS score（8.75±0.71） points, after 1 d（6.92±0.95）, postoperative 3 d（5.26±0.65） points after the 5 d（3.71±0.98） points, 2 cases of abdominal bleeding, pulmonary infection in 2 cases, 3 cases of pancreatitis, portal vein embolism 1 case, 1 case of intestinal obstruction, all patients were symptomatic conservative treatment or secondary surgery were cured. Conclusion Open splenectomy combined with pericardial blood vessels from breaking clinical efficacy in the treatment of portal hypertension, worthy applications.

关 键 词：开腹脾切除 门静脉高压 贲门血管离断术 

分 类 号：R657[医药卫生—外科学]