贲门周围血管离断联合食管横断治疗食管胃底静脉曲张出血的疗效

目的 探讨贲门周围血管离断加经腹吻合器行食管横断治疗食管胃底静脉曲张出血的疗效.方法 对2002年10月至2006年10月在我科行贲门周围血管离断加经腹食管横断吻合术治疗的26例门脉高压症食管胃底静脉曲张出血的临床资料进行回顾性分析.结果 26例中急诊手术2例,择期手术24例,近期无再出血及肝性脑病发生,远期随访16例,1～3年内再出血率3.84%,肝功能均有不同程度改善.结论 该手术近期疗效令人满意,是治疗门脉高压症食管胃底静脉曲张出血的一种有效术式.

Transabdominal paraesophagogastric devascularization plus esophageal transection for variceal bleeding of esophagus and gastric fundus

Objective To explore the therapeutic effect of transabdominal paraesophagogastric devascularization plus esophageal transection for variceal bleeding. Methods From October 2002 to October 2006, 26 patients of portal hypertension received the treatment in our hospital. Their clinical data were retrospectively analyzed. Results In the 26 cases, 2 received emergency operation and 24 selective operation. After operation, no recurrent bleeding or hepatic encephalopathy took place in short term. The long-term follow-up was performed in 16 cases, of which recurrent bleeding rate was 3.84% in 1 - 3 years and liver function was improved to various degree. Conclusion The curative effect in near future of this operation is satisfactory. This operation is an effective method to treat variceal bleeding of oesophageal fundus and stomach in portal vein hyperbarism.