You Position: Home > Paper
Management of 217 portal hypertension cases using selective devascularization
( views:220, downloads:13 )
- Author:
- No author available
- Journal Title:
- WORLD CHINESE JOURNAL OF DIGESTOLOGY
- Issue:
- 17
- DOI:
- 10.3969/j.issn.1009-3079.2008.17.019
- Key Word:
- 门静脉;高血压;断流术;食管旁静脉;自由门静脉压
Abstract： 目的:研究选择性断流术(选择性保留食管旁静脉的断流术)对门静脉高压症临床疗效的影响.方法:1993-01/2007-12收治门静脉高压症患者217例,分为3组:第1阶段(1993-01/1997-12)组27例,第2阶段(1998-01/2002-12)组68例和第3阶段(2003-01/2007-12)组122例,对不同组间食管旁静脉保留率、自由门静脉压变化、临床疗效等进行回顾性对比分析.结果:食管旁静脉的保留率第1阶段组33.3%,第2阶段组88.2%,第3阶段组93.4%,组间差异有统计学意义(P<0.05);与术前比较,3个阶段组术后自由门静脉压差值有统计学意义(F=5.22, P<0.01);术后近期并发症的发生率第1阶段组33.3%,第2阶段组14.7%,第3阶段组13.1%,差异有统计学意义(P<0.05);术后5年生存率从第1阶段组的74.1%,提高到第2阶段的91.2%,差异有统计学意义(P<0.05).结论:选择性断流术能够更有效降低门静脉压力、减少术后近期并发症、提高5年生存率.
- [1]花荣,吴志勇,孙勇伟,等.断流术中门静脉压力变化及术后再出血的临床研究[J].2007,(3).
- [2]洪德飞,郑雪咏,彭淑牖,等.完全腹腔镜巨脾联合贲门周围血管离断术治疗门静脉高压症[J].2007,(12).
- [3]Hiroshi Yoshida,Yasuhiro Mamada,Nobuhiko Taniai,etc.New methods for the management of gastric varices[J].2006,(37).
- [4]卢实春,孟繁坤,丁惠国,等.双剂量奥曲肽对肝硬化门脉高压症断流术后患者血流动力学的影响[J].2007,(4).
- [5]杨镇.选择性贲门周围血管离断术的解剖基础和操作要点[J].2006,(3).
- [6]谢敏,黄晶,潘一明,等.断流术中保留门体交通支的临床意义[J].2006,(10).
- [7]曹亚娟,谢敏,包善华,等.选择性断流术治疗门静脉高压症影响因素的回归分析[J].2008,(1).
- [8]李建生,刘文斌.肝炎肝硬化门脉高压症的治疗现状[J].2006,(6).
- [9]Roberto de Cleva,Paulo Herman,Luis Augusto Carneiro D'albuquerque,etc.Pre- and postoperative systemic hemodynamic evaluation in patients subjected to esophagogastric devascularization plus splenectomy and distal splenorenal shunt: A comparative study in schistomomal portal hypertension[J].2007,(41).
- [10]Xin-Bao Xu,Jing-Xiu Cai,Xi-Sheng Leng,etc.Clinical analysis of surgical treatment of portal hypertension[J].2005,(29).
- [11]冷希圣.肝移植时代如何看待门静脉高压症的断流手术[J].2007,(1).
- [12]蔡景修.门静脉高压症外科治疗的探讨[J].2004,(4).
- [13]梅斌,陈孝平,刘飞龙.肝硬化门静脉高压症患者断流术后转归的影响因素分析[J].2006,(24).
- [14]刘波,林楠,邓美海,等.不同治疗方式对门静脉高压症患者食管下段腔内外静脉的影响[J].2006,(7).
- [15]杨镇.选择性贲门周围血管离断术[J].2004,(7).
- [16]吴志勇,罗蒙.重视门静脉高压症术式的选择[J].2006,(3).
- [17]Al Wahabi K,Qazi SA,Hameed AM,etc.Transabdominal gastro-esophageal devascularization and esophageal transection for bleeding esophageal varices after failed injection sclerotherapy: long-term follow-up report.[J].2006,30(7).
- [18]Ajay, Sharma,Paari, Vijayaraghavan,Richa, Lal,etc.Salvage surgery in variceal bleeding due to portal hypertension.[J].1900,26(1).
- [19]M, Wolff,A, Hirner.[Surgical treatment of portal hypertension].[J].2005,130(3).
- [20]Singhal D,Gupta S,Soin AS,etc.Transabdominal gastroesophageal devascularization without transection for bleeding varices: results and indicators of prognosis.[J].2007,22(1).
- [21]Tamaki S,Maeda K,Sasaki K,etc.Hand-assisted laparoscopic splenectomy and devascularization of the upper stomach in the management of gastric varices.[J].2006,30(8).
- [22]Héctor, Orozco,Manuel, Tielve,Guillermo, Ramos,etc.[Hemodynamic study of the patient with hemorrhagic portal hypertension: importance of the left renal vein in patients with a distal splenorenal shunt (Warren)].[J].1900,71(3).