联合断流治疗门静脉高压症

目的 总结联合断流术治疗门静脉高压症的疗效。方法 分析联合断流术52例,均为肝炎后肝硬化。结果急诊手术全部止血无死亡,术后大量腹水2例,隔下感染1例。平均随访3.6年,术后出血率为0(5年)和5.8％(9年)。随访生存率96％(5年)和90％(9年)。无肝性脑病和肝功能衰竭发生。结论 联合断流术适应证广,术式易掌握,疗效满意,但应注意断流的彻底性、围手术期的处理及术后的长期治疗。

Reforming Aoki' s disconnective operation for portal typertension

Objective:To evaluate the effect of reforming Aoki's disconnective operation on portal hyperten-sion.Methods:From January 1990 to December 2000,52 portal hypertensive patients were treated using reform-ing Aoki's disconnective operation. Results:The bleeding control rate of emergency operation was 100%. The operation mortality was O.Post-operative ascites occurred in 2 cases,subphrenic infection occurred in 1 case. The mean follow-up time was 3.6 years. Recurrent bleeding rate was 0 at 5 years,and 5.8% at 10 years. The survival rate was 96% at 5 years,and 90% at 10 years.There were no hepatic encephalopathy and hepatic failure.Con-clusion:There are extensive indications,good result and easy performing technique for reforming Aoki's discon-nective operation. Thorough porta-azygous disconnection, perioperative intensive therapy and long-term post-op-erative therapy is very important.