保留迷走神经前干门奇断流术的临床分析

目的　探讨门奇断流术中保留迷走神经前干的可行性、有效性。方法　回顾性分析此术式 30例 ,对断流彻底性 ,术后再出血率及胃排空功能进行分析 ,并与同期传统术式进行比较 ,其中包括 32例门奇断流术 ,18例门奇断流术加幽门成形术。结果　术后再出血率为 13% ,低于传统术式 ,但不具有统计学意义。而胃肠功能恢复时间较传统术式快 (P<0 .0 5 )。结论　保留迷走神经前干的门奇断流术对治疗门静脉高压性出血及维持胃的生理功能方面是可行、有效的

Clinical study on portoazygous devascularization with the anterior trunk of vagus nerve preserved

Objective To explore the feasibility and the availability of preserving anterior trunk of vagal nerve during portoazygous devascularization (PD).Methods Retrospective study was performed,30 cases with this operation were compared with those with conventional operation method,concluding 32 cases with PD,18 cases with PD plus pyloroplasty.Thoroughness degree of devascularization,postoperative rebleeding rate,and gastric emptying function were analyzed.Results Postoperative rebleeding rate was 13%,lower than conventional operation method,but there was no significant difference (P>0.05),nevertheless,the gastroenteric functional recovery came earlier (P<0.05).Conclusion PD with the anterior trunk of vagal nerve preserved is valid and practicable for treating bleeding of portal hypertension and maintaining the gastric function.