选择性断流术治疗门静脉高压症97例

目的 探讨选择性断流术(保留食管旁静脉)对门静脉高压症的治疗作用.方法 收集2004年11月至2006年11月门静脉高压症97例,分为选择性断流术组(50例)和非选择性贲门周围血管离断术组(47例),比较病人手术前、后自由门静脉压(FPP),术后6个月的肝功能Child-Pugh评分、肝动脉血流量、胃底食管下段曲张静脉...

Management of 97 portal hypertension cases using selective devascularization

Objective Discussion on selective pericardial devascularization （retaining.the esophageal veins） in the treatment of portal hypertension. Methods Nintyseven patients of portal hypertension were devided into selective pericardial devascularization groups （50 cases） and non-vascular disconnection of selective pericardial devascularization group （47 cases）. Portal vein pressure in patients before and after the free portal pressure （FPP）, liver Child-Pugh score and hepatic artery blood flow, gastro-esophageal varices of lower levels, incidence of portal hypertension gastropathy postoperative 6 months were detected and compared. Results Two groups of FPP are decreased significantly postoperative,selective pericardial devascularization Group drop larger than the non-vascular disconnection of selective pericardial devascularization group （P〈0. 05 ） ; After operation 6 month selective pericardial devascularization group of liver function Child-Pugh score and portal vein and hepatic artery and portal vein blood flow of portal hypertensive gastropathy occurrence rates are better than non-vascular disconnection of selective pericardial devascularization group （P〈0. 01 or P〈0. 05）. Conclusion Selective pericardial devascularization in treatment of portal hypertension,can be more effective in reducing portal pressure, reasonably spontaneous shunt of the preserved body and are capable of reducing short and long-term complications, is an ideal stop operation.