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贲门周围血管离断与胃底血流阻断术治疗门静脉高压症的远期疗效
Long term results of Pericardial devascularization plus blockade of Paradoxical venous blood flow around gastric fundus for the treatment of Portal hypertension
【摘要】 自1981年5月至1991年12月我院施行贲门周围血管离断与胃底血流阻断术172例,已有160例术后2年以上,100例术后6年以上。2年以上病例得到随访者139例,死亡19例,绝对生存率为75%。6年以上病例死亡9例,绝对生存率为75%。再出血16例,再出血率为10%。有10例病人用B超脉冲多普勒测定了门静脉血流量,较术前比较门静脉血流量减少约1/4,但可维持一般水平,不致于发生肝衰竭和肝性脑病。
【Abstract】 Abstract During the period between May 1981 and Oct.1991,172 cases of portal hypertension underwent paricardial devascularization plus blocking the paradoxical venous blood flow of the gastric fundus.Among them 160 cases were done for more than 2 years,and follow up of the 139 cases found 120 still alive with an absolute 2 year’s survival rate of 75%.Ninety one of the 100 cases have survived for more than 6 years with an absolute 6 year’s survival rate of 75%. During the same period 16 cases rebled with a rebleeding rate of 10%.Postoperative portal blood flow measured by B-mode ultrasonography in 10 cases decreased by an average of 25% which judged by the very low occurrence of postoperative encephalopathy was just enough to support normal liver function.
- 【文献出处】 普外临床 , 编辑部邮箱 ,1994年03期
- 【分类号】R657.34
- 【被引频次】12
- 【下载频次】40