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经腹食管下段胃底切除术治疗门静脉高压症的临床研究
引用本文:戴建青,周嘉良,管惟苓. 经腹食管下段胃底切除术治疗门静脉高压症的临床研究[J]. 中华普通外科杂志, 2002, 17(3): 137-138
作者姓名:戴建青  周嘉良  管惟苓
作者单位:215001,南京医科大学附属苏州医院普外科
摘    要:
目的 研究经腹食管下段胃底切除术治疗门静脉高压症的临床效果。方法 采用择期经腹食管下段胃底切除术治疗门静脉高压症18例。患者均为肝炎后肝硬化伴有比较严重的食管胃底静脉曲线及1次以上出血史。结果 全部病例均获随访,平均随访46个月。随访中无食管曲张静脉复发出血,无手术近期死亡,效果满意。结论 经腹食管下段胃底切除术能较好地为患者耐受,复发出血率低,止血确切,是治疗门静脉高压症比较理想的一种手术方法。

关 键 词:食管切除术 胃切除术 临床研究 经腹食管下段胃底切除术 门脉高压症
修稿时间:2001-04-09

Transabdominal gastric fundusectomy plus distal esophagectomy for the treatment of portal hypertension
DAI Jianqing,ZHOU Jialiang,GUAN Weiling. Transabdominal gastric fundusectomy plus distal esophagectomy for the treatment of portal hypertension[J]. Chinese Journal of General Surgery, 2002, 17(3): 137-138
Authors:DAI Jianqing  ZHOU Jialiang  GUAN Weiling
Affiliation:DAI Jianqing,ZHOU Jialiang,GUAN Weiling. Department of Surgery,Suzhou Hospital,Nanjing Medical University,Suzhou 215001,China
Abstract:
ObjectiveTo evaluate the effect of transabdominal gastric fundusectomy plus distal esophagectomy in patients suffering from portal hypertension. MethodsEighteen portal hypertension patients with a history of bleeding esophageal varix were treated by this procedure on elective basis.ResultsAll cases were followed up for an average of 46 months. There was no recurrent hemorrhage and no mortality during the follow-up.ConclusionsThis procedure is well tolerated by the patients with definite immediate effect and low recurrent bleeding rate.
Keywords:Hypertension   portal  Esophagectomy  Gastrectomy
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