改良Sugiura术治疗门静脉高压症的疗效评价

目的评价改良Sugiura手术治疗门静脉高压症的疗效。方法回顾对85例门静脉高压症患者行改良Sugiura手术的情况。结果本组技术成功率100%,1例术后2周因肝功能衰竭死亡,吻合口漏1例。随访时间6个月至10年,平均4.1年。随访期间再出血1例,无吻合口狭窄发生,所有患者食管下段静脉曲张消失或明显好转,肝性脑病发生率2.35%。结论本术式治疗门静脉高压症围手术期死亡率和再出血率低,并发症少,值得推广。

Modified Sugiura procedure for the treatment of portal hypertention in 85 cases

Objective To evaluate the effects of modified Sugiura procedure on portal hypertension.Method To analyze 85 patients with portal hypertension who underwent modified Sugiura operation.Results The success rate of the procedure was 100%. One patient died from hepatic failure 2 weeks after the operation, and one had anastomotic leakage. The period of follow-up ranged from 6 months to 10 years, with an average of 4.1 years. One patient suffered from rehemorrhage but no stricture of anastomotic stoma was seen during the follow-up. The varicosity of the lower segment of the esophagus of all patients disappeared or improved. The incidence of hepatic encephalopathy was 2.35%.Conclusions The modified Sugiura procedure has a lower death rate, less complications such as rehemorrhage. So the modified Sugiura procedure deserves to be used properly.