脾切除联合门奇静脉断流术治疗肝硬化门静脉高压合并脾亢对患者营养状态的影响  

Effects of Splenectomy Combined with Esophagogastric Devascularization on Nutrition Status of Patients with Cirrhotic Portal Hypertension and Hypersplenism

作　　者：李广俊[1] 蔡日 LI Guang-jun;CAI Ri(Department of Hepatobiliary Surgery,the First Affiliated Hospital of Xinxiang Medical University,Weihui 453100,Henan Province,China)

机构地区：[1]新乡医学院第一附属医院肝胆外科,河南卫辉453100

出　　处：《罕少疾病杂志》2021年第4期49-50,共2页Journal of Rare and Uncommon Diseases

摘　　要：目的研究脾切除联合门奇静脉断流术治疗肝硬化门静脉高压合并脾亢对患者营养状态的影响。方法选取2019年3月至2020年3月间我院收治的肝硬化门静脉高压合并脾亢患者80例作为研究对象,分析比较患者术前、术后1周、术后1、3个月的体质量指数(BMI)、白蛋白(AIb)、淋巴细胞总数。结果患者术后1周、术后1个月BMI较之术前水平明显降低,差异具有统计学意义(P<0.05);术后1、3个月AIb较之术前水平显著升高,差异具有统计学意义(P<0.05);淋巴细胞总数术后各时间点均显著高于术前水平(P<0.05)。结论脾切除联合门奇静脉断流术治疗肝硬化门静脉高压合并脾亢患者,能有效改善其营养状况。Objective To study the effects of splenectomy combined with esophagogastric devascularization on nutrition status of patients with cirrhotic portal hypertension(CPH)and hypersplenism.Methods Eighty patients with CPH and hypersplenism admitted to the hospital from March 2019 to March 2020 were enrolled as the research objects.Before surgery,at 1 week,1 month,and 3 months after surgery,body mass index(BMI),albumin(AIb),and total lymphocytes counts were analyzed and compared among patients.Results BMIat 1 week and 1 month after surgerywas significantly lower than that before surgery(P<0.05).At 1 month and 3 months after surgery,AIb was significantly higher than that before surgery(P<0.05).After surgery,total lymphocytes counts were significantly increased(P<0.05).Conclusion Splenectomy combined with esophagogastric devascularization in the treatment of patients with CPH and hypersplenism can effectively improve their nutritionstatus.

关 键 词：脾切除 门奇静脉断流术 肝硬化门静脉高压 脾亢 营养状态 

分 类 号：R322.21[医药卫生—人体解剖和组织胚胎学]