选择性贲门周围血管离断术治疗门脉高压症

目的：探讨选择性贲门周围血管离断术治疗门脉高压症临床疗效.方法：我院自2004年8月至2009年8月,采用选择性贲门周围血管离断术治疗门脉高压症患者26例.结果：与术前相比,手术后门静脉压力降低22例,升高4例.1例围术期死亡;25例术后获得确切止血效果,治愈出院.25例获1～6 a随访,无再出血发生,无肝性脑病发生,无难治性腹水,部分患者术后肝功能得到不同程度改善,术后食管静脉曲张消失18例、减轻5例,另2例无变化.结论：选择性贲门周围血管离断术是一种治疗门脉高压症安全、合理、最为有效的方法之一.

Treatment of Portal Hypertension with Selective Pericardial Devascularization

Objective：To explore the curative effects of portal hypertension with selective perieardial devascularization. Methods：The clinical data of 26 cases with portal hypertension who were carried out selective pericardial devascularization were retrospectively analyzed from August 2004 to August 2009. Results：Compared with Preoperation, the portal pressure of 22 cases reduced and 4 cases increased. 1 case died during the perioperative period and 25 cases acquired the precise hemostatic effect and were cured. A 1 -6 year followed - up of discharged patients showed there was no case of rebleeding, hepatic encephalopathy or refractory ascites and the liver function in some patients improved to some extent and esophageal varices in most patients disappeared or reduced after operation. Conclusions：Selective pericardial devascularization is a safe, reasonable and effective method in the treatment of portal hypertension.