68例贲门周围血管离断术治疗门静脉高压症的临床分析  

Clinical Analysis of the Effect of Pericardial Devascularization in the Treatment of 68 Cases of Patients With Portal Hypertension

作　　者：张志勇[1] 

机构地区：[1]江苏省淮安市第四人民医院外科,江苏淮安223002

出　　处：《中国继续医学教育》2017年第27期63-64,共2页China Continuing Medical Education

摘　　要：目的分析选择性贲门周围血管离断术和传统断流术治疗门静脉高压症的临床效果。方法选择我院2014年1月—2016年10月收治的门静脉高压症患者68例作为研究对象。按照治疗方法的不同,将其分成观察组和对照组,每组各34例。对照组给予传统断流术治疗,观察组进行选择性贲门周围血管离断术治疗,记录并分析数据。结果治疗后,观察组患者的肝动脉与门动脉血流量改善情况优于对照组,FPP低于对照组,并发症发生率少于对照组,差异均具有统计学意义(P<0.05)。观察组患者复发出血率低于对照组,但组间数据对比,差异不具有统计学意义(P>0.05)。结论选择性贲门周围血管离断术治疗门静脉高压症的临床效果显著。Objective To analyze the clinical effect of selective pericardial paraesophsgastric devascularization and traditional devascularization in patients with portal hypertension. Methods 68 patients with portal hypertension admitted to our hospital from January 2014 to October 2016 were selected as the subjects. According to the different treatment methods, they were divided into observation group and control group, 34 cases in each group. The control group was treated with traditional devascularization, the observation group was treated with selective pericardial devascularization, and the data were recorded and analyzed. Results After treatment, the improvement of hepatic artery and portal artery blood flow in the observation group was better than that in the control group. FPP was lower than that in the control group, and the incidence of complications was less than that in the control group. The difference was statistically significant（P 〈 0.05）. The rate of recurrent bleeding in the observation group was lower than that of the control group, but the difference between the groups was not statistically significant（P 〈 0.05）. Conclusion The clinical effect of selective pericardial devascularization for treatment of portal hypertension is significant.

关 键 词：贲门周围血管离断术 门静脉高压症 效果 

分 类 号：R657[医药卫生—外科学]