改良Sugiura术对肝硬化并发门脉高压症患者门脉血流动力学指标的影响  

Effect of modified Sugiura procedure on portal hemodynamic indicators in patients with cirrhosis complicated with portal hypertension

作　　者：彭震 白玉强 PENG Zhen;BAI Yuqiang(Department of Surgery,Affiliated Hospital of Tibet Nationalities University;Department of Digestion,Suide Branch of Yulin City First Hospital in Shanxi Province)

机构地区：[1]西藏民族大学附属医院外科,陕西咸阳712000 [2]陕西省榆林市第一医院绥德院区消化内科,陕西榆林718000

出　　处：《实用临床医药杂志》2020年第19期100-102,106,共4页Journal of Clinical Medicine in Practice

摘　　要：目的观察改良Sugiura术对肝硬化并发门脉高压症的治疗效果。方法选取70例肝硬化并发门脉高压症患者为研究对象,按照诊治顺序分成对照组和观察组。对照组按照常规方式实施Sugiura术,观察组实施改良Sugiura术,比较2组手术情况、血流动力学指标、肝功能和并发症发生率。结果观察组手术时间和住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05);2组血流动力学指标和并发症发生率比较,差异有统计学意义(P<0.05);观察组术后肝功能评分低于对照组,差异有统计学意义(P<0.05)。结论肝硬化并发门脉高压症患者实施改良Sugiura术的效果好,安全性高。Objective To observe the therapeutic effect of modified Sugiura procedure in cirrhosis patients complicated with portal hypertension.Methods A total of 70 cirrhosis patients complicated with portal hypertension were selected as study subjects,and were divided into control group and observation group according to the order of diagnosis and treatment.The control group received Sugiura procedure in a conventional manner,and the observation group received modified Sugiura surgery.Surgical conditions,hemodynamic indicators,liver function and incidence of complications of two groups were compared.Results The duration of operation and hospitalization time in the observation group were significantly shorter than that in the control group,and the intraoperative blood loss was significantly less than that in the control group(P<0.05).There were statistical differences between the control group and the observation group in hemodynamic indicators and incidence of complications(P<0.05).The postoperative liver function score of the observation group was significantly lower than that of the control group(P<0.05).Conclusion Modified Sugiura procedure for patients with cirrhosis complicated with portal hypertension has good effect and higher safety.

关 键 词：改良SUGIURA术 肝硬化 门静脉高压症 血流动力学指标 肝功能 并发症 

分 类 号：R657.3[医药卫生—外科学]