【摘要】 重庆医科大学第一、二医院自1960年5月—1982年4月施行门奇静脉断流术93例（经腹58例，经胸35例）。经腹组中46例及经胸组25例因食管静脉曲张破裂急性大出血而施行急症手术。86例为肝内型。经腹组78.9％得到随访，平均随访时间8.9年。经胸组93.9％得到随访，平均随访时间2.9年。术后无脑病发生。经腹组30例中10例再次出血（33.3％），经胸组31例中6例再次出血（19.3％）。手术效果与病人肝功能状态和手术方式有关。根据64具尸体进行的观察，发现胃冠状静脉的分支多种多样，彻底结扎、切断冠状静脉及其所有属支，特别是高位食管支、膈下及胃后静脉是成功的关键。更多还原

【Abstract】 From May 1960 to April 1982, 93 cases of portal hypertension were treated with interruption of portoazygos circulation. Among them, 53 cases were transabdominal and 35 cases transthoracic. 46 cases among transabdominal group and 25 cases among transthor-acic group underwent emergency operations for massive bleeding due to rupture of esoph-ageal varices.86 cases were of the intrahepatic type. 78.9% of the cases were followed-up for an average of 8.9 years in the transabdominal group; while 93.9% of the cases were followed-up for an average of 2.9 years in the transthoracic group. NO postoperative encepha-lopathy occurred. Recurrence of bleeding occurred in 10 癴 30 cases (33.3%) in the transabdominal group and 6 of 31 cases (19.3%) in the transthoracic group. The operative results were closely correlated with the hepatic functiond state of the patients and the operative type.Based on the anatomical variation the coronary venous branches observed in the dissection of 64 cadavers, complete disconnection of the coronary vein including all ist branches, especially the high esophageal branche subdiaphragmatic and retrogastric vein, are the key step to success.更多还原