J4 ›› 2011, Vol. 10 ›› Issue (6): 46-47.

• 临床医学 • 上一篇    下一篇

改良Sugiura手术治疗门静脉高压症47例临床分析

目的:探讨改良Sugiura术治疗门静脉高压症的疗效。方法:回顾性分析47例门静脉高压症行改良Sugiura术患者的临
床资料。结果:手术后近期止血效果确切,手术死亡率为2.01%(1/47),再出血率为4.4%(2/47),术后未发生肝性脑病,术后所有患者食管下段静脉曲张消失或者明显好转。无吻合口狭窄和吻合口瘘发生。结论:改良Sugiura术治疗门静脉高压症手术操作简便,疗效较好,并发症少,值得临床推广应用。   

  1. 1.大理学院大理附属医院,云南大理 671000;2.大理学院附属医院,云南大理 671000
  • 收稿日期:2011-01-14 出版日期:2011-06-01 发布日期:2011-06-01
  • 作者简介:刘洪,主治医师,主要从事普通外科研究.

Clinical Analysis of 47 Cases of Portal Hypertension Treated with Modified Sugiura Operation

Objecfive:To assess the efects of modified sugiura surgical procedure for portal hypertension.Methods:Clinical documents of 47 patients with portal hypertension treated by modified sugiura operation were analyzed retrospectively.Results:There was good effect of modified sugiura surgical procedure for po~al hype~ension in preyenting recent post-operative bleeding,one patient died,the mortality was 2.01% (1/47).The syndrome of esophageal varices disappeared or markedly improved after the operation in the rest patients.Two
patients rebleeded,}he rebleeding rate was 4.4% (2/47).No hepatic eneephalopathy,anastomotic leakage,nor stricture was obsmwed.Conclusion:Modified sugiura operation was an effective treatment tbr portal hypertension,with relatively lnore eonvenient operation and less complications.   

  1. 1.Dali Afiliated Hospital of Dali University,Dali,Yunnan 671000,China;2.Afiliated Hospital of Dali University,Dali,Yunnan 671000,China)
  • Received:2011-01-14 Online:2011-06-01 Published:2011-06-01

摘要:

目的:探讨改良Sugiura术治疗门静脉高压症的疗效。方法:回顾性分析47例门静脉高压症行改良Sugiura术患者的临
床资料。结果:手术后近期止血效果确切,手术死亡率为2.01%(1/47),再出血率为4.4%(2/47),术后未发生肝性脑病,术后所有患者食管下段静脉曲张消失或者明显好转。无吻合口狭窄和吻合口瘘发生。结论:改良Sugiura术治疗门静脉高压症手术操作简便,疗效较好,并发症少,值得临床推广应用。

关键词: 门静脉高压症, 改良Sugiura手术, 脾功能亢进

Abstract:

Objecfive:To assess the efects of modified sugiura surgical procedure for portal hypertension.Methods:Clinical documents of 47 patients with portal hypertension treated by modified sugiura operation were analyzed retrospectively.Results:There was good effect of modified sugiura surgical procedure for po~al hype~ension in preyenting recent post-operative bleeding,one patient died,the mortality was 2.01% (1/47).The syndrome of esophageal varices disappeared or markedly improved after the operation in the rest patients.Two
patients rebleeded,}he rebleeding rate was 4.4% (2/47).No hepatic eneephalopathy,anastomotic leakage,nor stricture was obsmwed.Conclusion:Modified sugiura operation was an effective treatment tbr portal hypertension,with relatively lnore eonvenient operation and less complications.

Key words: portal hypertension, modified sugiura operation, hypersplenism

中图分类号: