脾切除,贲门周围血管离断术治疗门脉高压症

目的总结51例脾切除、贲门周围血管离断术及分流术,治疗门脉高压症体会.方法1985年1月～1997年12月间收治的51例门脉高压症病例,进行回顾分析.结果该组51例病例中40例行断流术获得满意疗效,6例因术后肝功能衰竭死亡.结论脾切除后加贲门周围血管离断术,应充分考虑肝硬化脾功能亢进,引起局部结构异常和病理生理的变化.所以,手术操作应规范化、合理化,并对全身情况和术后可能发生的并发症进行全面评估和处理,方能保证手术后安全的关键.

Splenectomy,extensive esophagogastric devascularization in management of portal hypertension

Objective:To explore 51 cases of portal hypertension by splenectomy extensive esophagogastric devascularization and/or porto-systemic shunt, and make a summary of my personal experiences. Methods:To analyse 51 inpatients of portal hypertension from Jan, 1985 to Dec, 1997 in our hospital retrospectively. Results:In the 51 cases. 40 had satisfactory curative affects ,5 died of liver function failure.Conclusions:To do splenectomy and extensive esophagogastric devascularization ,we should consider the local structure abnormality and pathphysiologic Changes caused by liver cirrhosis and hypersplenism therefore, Surgical produre should be standard and rational, combining to take a overall evaluation about general conditon before operation and some complications that may take place after operation, treat it seriously, these are key points that assure the postoperatire safety.