吻合器联合门奇静脉断流加脾肾静脉分流治疗门脉高压症.pdfVIP

(互孝l至学院学报 2oo7 oc【． ． 38 J Liaoning Med University … … ‘‘‘28(5) 吻合器联合门奇静脉断流加脾肾 静脉分流治疗门脉高压症 王振冉，付晓光，唐 博 (辽宁医学院附属第一医院普外科，辽宁锦州121001) 【摘要】 目的 探讨吻合器联合门奇静脉断流加脾肾静脉分流治疗门脉高压症的疗效。方法 采用吻合器联合门奇 静脉断流加脾肾静脉分流治疗33例门脉高压症并与40例单纯断流术及39例吻合器加断流术进行比较。结果 临床疗效满 意，术后近期无一例再出血，远期仅1例再出血，术后无一例发生吻合1：7溃疡、狭窄、梗阻及吻合1：7漏，1例发生肝性脑 病。结论 吻合器联合门奇静脉断流加脾肾静脉分流术既保留了断流术及分流术的优点，又克服了二者的缺点，是治疗门 脉高压症一种合理可行的术式。其远期疗效尚需积累更多的病例和进行更长期的随访进一步观察。 【关键词】 门脉高压；脾肾静脉分流术；食管吻合嚣 【中图分类号】 R544 【文献标识码】 A 【文章编号】 1000—5161(2007)05—0038—03 The Clinical Study of Circular Stapler with Esophagogastric Devascularization and Splenorenal Vein Shunt to Cure Portal Hypertension WANG Zhen—ran，FU Xiao—guang，TANG Bo (The General Surgical Department of the First Affiliated Hospital，Liaoning Medical University，Jinzhou 121001 China) 【Abstract】 Objective To investigate the effect of the circular stapler with esophagogastric devascularizationg and splenorenal vein shunt used to cure portal hypertension． Methods Aretrospective analysis was made on the results of 33 patients with liver cir． rhosis，portal hypertension esophageal and gastric variceal bleeding who were treated with circular stapler with esophagogastric devascu— larization and splenorenal vein shunt and made on the 40 patients who get the same disease and treated with esophagogastric desvascu— larization or circular stapler with esophagogastric devascularization． Results All th