胃左静脉腔静脉分流术治疗门静脉高压症八例

目的探讨胃左静脉腔静脉分流术治疗门静脉高压症的近期和远期疗效。方法对8例门静脉高压症患者施行胃左静脉腔静脉分流术 ,其中移植血管选用自体静脉 5例 ,人工血管 3例。结果本组无手术并发症及手术死亡 ,近期无再出血。随防 10个月至 10年 ,平均随访 5年 2个月 ,3例恢复轻体力劳动 ,2例恢复重体力劳动 ,2例死亡 ,1例失访。结论胃左静脉腔静脉分流术区域性降压效果好 ,兼有断流效果 ,对门静脉血流动力学干扰小 ,是一种安全理想的分流术式。

Left gastric venous caval shunt for esophageal varices:a report of 8 cases

Objective To evaluate the effect of left gastric venous caval shunt in the treatment of portal hypertension. Methods Eight patients suffering from portal hypertension underwent left gastric venouscaval shunt. The graft was of autogenous vein in 5 cases and artificial vein in 3 cases. Results There was no mortality and major complication nor early rebleeding. All patients were followed up from 10 mos to 10 years with an average of 5 years and 2 mos.Postoperatively,5 cases retrieved active living style. Two cases died, and one was lost during the follow-up. Conclusion Left gastric venous caval shunt decreasesthe venous pressure of the portal system within pericardiac and lower esophageal area. The shunt is a safe and effective surgical treatment presenting less alterations to splanchnic hemodynamics and with an additionaladvantage for pericardial devascularization.