| 经腹贲门周围血管离断术联合附加限制环的门腔静脉分流术治疗门脉高压症的临床研究 |
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| 引用本文： | 方宏,韩江涛.经腹贲门周围血管离断术联合附加限制环的门腔静脉分流术治疗门脉高压症的临床研究[J].泸州医学院学报,2008,31(3):307-309. |
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| 作者姓名： | 方宏 韩江涛 |
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| 作者单位： | 宜宾市第一人民医院普外科,四川宜宾,644000 |
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| 摘 要： | 目的:探讨不同术式对肝硬变门脉高压上消化遭大出血的外科治疗效果.方法:对Child肝功能分级主要为A级及B级的肝硬化门脉高压上消化道大出血患者59例随机采用3种术式,分别为经腹贲门周围血管离断术(简称为经腹断流术)22例,附加限制环的门腔静脉分流术(简称为附加分流术)17例,经腹贲门周围血管离断术联合附加限制环的门腔静脉分流术(简称联合术式)20例.结果:术后均获随访10～36月,平均23月,联合术式术后再出血率明显降低(P<0.05).结论:经腹贲门周围血管离断术联合附加限制环的门腔静脉分流术弥补了单一术式的不足,可明显降低术后再出血率,操作简便,不失为一种较好的手术术式.
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| 关 键 词： | 肝硬变 门脉高压 经腹断流术 附加分流术 |
STUDY OF THE TREATMENT OF PORTAL HYPERTENSION BY TRANSABDOMINAL EXTENSIVE ESOPHAGOGASTRIC DEVASCULARIZATION COMBINED PORTACAVAL SHUNT PLUS LIMITING RING AROUND THE ANASTOMOSIS |
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| Fang Hong,et al.STUDY OF THE TREATMENT OF PORTAL HYPERTENSION BY TRANSABDOMINAL EXTENSIVE ESOPHAGOGASTRIC DEVASCULARIZATION COMBINED PORTACAVAL SHUNT PLUS LIMITING RING AROUND THE ANASTOMOSIS[J].Journal of Luzhou Medical College,2008,31(3):307-309. |
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| Authors: | Fang Hong |
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| Institution: | Fang Hong,et al Department of General Surgery,the First People\'s Hospital of Yibin City |
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| Abstract: | Objective:To explore the effect of different operational modes on portal hypertension with hemorrhage of upper digestive tract. Methods:Three operation modes were applied randomly to 59 portal hypertension patients whose Child grade of hepatic function was mainly A or B: transabdominal extensive esophagogastric devascularizaion (transabdominal devascularization), 22 cases. Portacaval shunt plus limiting ring around the anastomosis (appended portacaval shunt ),17 cases. Transabdominal extensive esophagogastr... |
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| Keywords: | Liver cirrhosis Portal hypertension Transabdominal devascularization Added portacaval shunt |
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