门奇静脉断流改良术治疗门静脉高压症合并上消化道出血的临床效果  

Clinical effect of modified portal azygos disconnection in the treatment of portal hypertension combined with upper gastrointestinal hemorrhage

作　　者：顾明强 刘岩 GU Ming-qiang;LIU Yan(the People's Hospital of Chengwu County,Heze 274200,China)

机构地区：[1]山东省成武县人民医院

出　　处：《临床医学研究与实践》2019年第31期84-85,共2页Clinical Research and Practice

摘　　要：目的探讨门奇静脉断流改良术治疗门静脉高压症(PH)合并上消化道出血(UGH)的临床效果。方法选取我院收治的68例PH合并UGH患者作为研究对象,按照电脑随机法将其分为对照组与观察组,各34例。对照组给予传统门奇静脉断流术治疗,观察组给予门奇静脉断流改良术治疗。比较两组患者的治疗效果。结果观察组患者的手术时间和住院时间均短于对照组,术中出血量少于对照组(P<0.05)。手术后,两组患者的ALT、TB和ALP水平均降低,且观察组低于对照组(P<0.05)。观察组患者的并发症总发生率显著低于对照组(P<0.05)。结论门奇静脉断流改良术治疗PH合并UGH可有效缩短患者住院时间和手术时间,减少术中出血量,减少术后并发症的发生,值得临床应用和推广。Objective To explore the clinical effect of modified portal azygos disconnection in the treatment of portal hypertension (PH) combined with upper gastrointestinal hemorrhage (UGH). Methods A total of 68 patients with PH combined with UGH admitted in our hospital were selected as the research objects and divided into control group and observation group according to computer random method, with 34 cases in each group. The control group was treated with traditional portal azygos disconnection, while the observation group was treated with modified portal azygos disconnection. The therapeutic effects were compared between the two groups. Results The operation time and hospitalization time in the observation group were shorter than those in the control group, and the intraoperative bleeding volume was less than that in the control group (P<0.05). After operation, the levels of ALT, TB and ALP in both groups decreased, and those in the observation group were lower than the control group (P<0.05). The total incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion Modified portal azygos disconnection in the treatment of PH combined with UGH can effectively shorten the hospitalization time and operation time of patients, reduce intraoperative bleeding volume and the occurrence of postoperative complications, which is worthy of clinical application and promotion.

关 键 词：门奇静脉断流改良术 门静脉高压症 上消化道出血 肝功能 

分 类 号：R657.3[医药卫生—外科学]