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改良Sugiura 手术治疗门静脉高压症的疗效评价
引用本文:马优钢,陈汉,吴孟超. 改良Sugiura 手术治疗门静脉高压症的疗效评价[J]. 中华普通外科杂志, 2002, 17(3): 135-136
作者姓名:马优钢  陈汉  吴孟超
作者单位:200438,上海,第二军医大学东方肝胆外科医院胆道二科
摘    要:目的 评价改良Sugiura手术治疗门静脉高压症的疗效。方法 回顾性分析对72例肝炎后肝硬化性门静脉高压症患者施行改良Sugiura手术治疗的情况。结果 手术死亡率为0,随访率为99%。随访时间6个月至9年,平均随访4年1个月。肝性脑病发生率为1%,再出血率为35。结论 本手术治疗肝炎后肝硬化性门静脉高压症的疗效令人满意,其操作并不复杂,不失为一种值得和便于推广的门静脉高压症治疗技术。

关 键 词:外科手术 门脉高压症 Sugiura术 术式改良 疗效
修稿时间:2001-04-30

Modified Sugiura procedure for the treatment of portal hypertention in 72 cases
MA Yougang,CHEN Han,WU Mengchao. Eastern Hepato-Biliary Hospital,Second Millitary Medical University,Shanghai ,China. Modified Sugiura procedure for the treatment of portal hypertention in 72 cases[J]. Chinese Journal of General Surgery, 2002, 17(3): 135-136
Authors:MA Yougang  CHEN Han  WU Mengchao. Eastern Hepato-Biliary Hospital  Second Millitary Medical University  Shanghai   China
Affiliation:MA Yougang,CHEN Han,WU Mengchao. Eastern Hepato-Biliary Hospital,Second Millitary Medical University,Shanghai 200438,China
Abstract:ObjectiveTo evaluate the effect of modified Sugiura procedure in the treatment of portal hypertension.MethodWe analyzed the results of modified Sugiura procedure performed in 72 patients suffering from portal hypertension secondary to postohepatitic liver cirrhosis from January 1991 to January 2000.Results There was no operative mortality. Seventy one out of 72 (99%) patients were followed-up with a mean follow-up time of 4 years and 1 month. Hepatic coma and rebleeding rate was respectively 1% and 3%, respectively. ConclusionOur results showed that the effect of modified Sugiura procedure in the treatment of portal hypertension is satisfactory with a low complication rate, and low bleeding recurrence.
Keywords:Hypertension   portal  Surgical procedure   operative  
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