联合断流术治疗血吸虫性肝硬化门脉高压症87例分析

目的探讨经腹联合断流术治疗血吸虫性肝硬化门脉高压症的效果。方法87例血吸虫性肝硬化门脉高压症患者,采用经腹联合断流术治疗。其中肝功能Child A级47例,B级37例,C级3例;急诊手术15例,择期手术72例;初次手术74例,再次手术13例。结果7例术后出现少量腹水,6例经短期内科保守治疗治愈,1例肝功能C级患者术后第7 d死于肝功能衰竭。余86例均治愈出院,术后均获随访,平均18个月（9个月-4年）,未发生再出血,2年存活率达98.9%（86/87）。结论经腹联合断流术是治疗血吸虫性肝硬化门脉高压症的有效手段。

Combined Devascularization for Liver Cirrhotic Portal Hypertension Induced by Schistosomrasis

Objective To explore the efficacy of combined devascularization operation for liver cirrhotic portal hypertension induced by schistosomiasis.Methods A retrospective analysis was made on results of 87 patients with liver cirrhotic portal hypertension induced by schistosomiasis who were treated with combined devascularization operation.The liver function was Child A in 47 cases,Child B in 37 cases and Child C in 3 cases.15 underwent emergency opearions,and the rest 72 underwent selective operation.13 had surgical history,and 74 did not.Results 7 cases suffered hydroperitoneum in whom 6 healed and 1 died of liver function failure.All the 86 cases were followed up for average 18 months,and no rebleeding was found.The 2-year survival rate was 98.9%（86/87）.Conclusion Combined devascularization operation is an effective method for liver cirrhotic portal hypertension induced by schistosomiasis.