贲门周围血管离断术联合食管下段横断吻合术治疗食管胃底静脉曲张出血的疗效  

Effect of Pericardial Devascularization Combined With Lower Esophagus Transection and Anastomosis in the Treatment of Esophageal Varices Bleeding

作　　者：蔡锋[1] 朱运海[1] 赵杰[1] 

机构地区：[1]商丘市第一人民医院,476100

出　　处：《中国继续医学教育》2016年第7期68-70,共3页China Continuing Medical Education

摘　　要：目的观察贲门周围血管离断术联合食管下段横断吻合术治疗门静脉高压症上消化道出血的疗效。方法对2010年1月~2015年1月在我院行贲门周围血管离断加经腹食管横断吻合术治疗的36例门脉高压症食管胃底静脉曲张出血的临床资料进行回顾性分析。结果 36例中择期手术29例,急诊手术7例,近期无大出血及肝性脑病的发生,远期随访28例,1~5年内再出血率3.57%,肝功能均有不同程度改善。结论该手术方式临床效果满意,是治疗门脉高压症食管胃底静脉曲张出血的一种有效手术方式。Objective To explore the therapeutic effect of transabdominal paraesophagogastric devascularization plus esophageal transection for variceal bleeding. Methods 36 patients of portal hypertension received the treatment in our hospital from January 2010 to January 2015. Their clinical data were retrospectively analyzed. Results In the 36 cases, 29 selective operation and 7 received emergency operation. After operation, no recurrent bleeding or hepatic encephalopathy took place in short term. The longterm follow-up was performed in 28 cases, of which recurrent bleeding rate was 3.57% in 1~5 years and liver function was improved to various degree. Conclusion The curative effect in near future of this operation is satisfactory. This operation is an effective method to treat variceal bleeding of oesophageal fundus and stomach in portal vein hyperbarism.

关 键 词：门脉高压症 上消化道出血 贲门周围血管离断术 食管吻合器 

分 类 号：R657[医药卫生—外科学]