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门奇静脉断流术治疗门静脉高压症

Portazygos disconnection in the treatment of portal hy-pertension

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【作者】 薛涣洲姜青峰田建国张宏伟鲁自详

【Author】 Xue Huan-zhou;Jiang Qing-feng;TianJan-guo; et al.( Henan ProvinciaI PeopIe’s Hospital,Zhengzhou 450003.)

【机构】 河南省人民医院肝胆外科

【摘要】 1988年1月至1993年2月作者为116例肝硬变门静脉高压症患者施行了断流术,其中Has-sab手术37例,扩大Hassab手术36例,联合断流术33例,经胸断流术10例。全组手术死亡率为6.9%,近期出血率为8.6%,随访期出血率为18.5%;1年及3年生存率分别为94.2%和81.8%。不同术式的临床资料分析表明扩大Hassab手术和经胸断流术疗效较好。

【Abstract】 AbstractSince Januarv 1988 to February 1993,116 cases ofcirrhotic portal hypertension were treated with por-tazygos disconnection. 37 cases were treated with Has-sab’s procedure, 36 cases were treated with amplifica-tion Hassab’s procedure, 33 cases were treated withpericardial devascularization with circular interruptionof blood flow of fundus,10 cases were treated withtransthoracic portazygos disconnection. The operativemortallity was 6.9%. The hemorrhage rate was 8.6%in one month after the operation. All of 108 patientsdischarged from the hospital were followed up for 14months to 75 months. The recurrent hemorrhage ratewas 18.5%in the period.The one-year and three-yearsurvival rate after the operation were 94.2%and81.8%, respectively. The rexuIts we have got indicatethat amplification Hassab’s procedure and transthoracicportazygos disconnection have good effect.

【关键词】 高血压门脉门奇断流术
  • 【文献出处】 中华外科杂志 ,Chiese Journal of Surgery , 编辑部邮箱 ,1994年10期
  • 【分类号】R657.34
  • 【被引频次】14
  • 【下载频次】41
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