门静脉高压症采用选择性贲门周围血管离断术治疗疗效分析.docVIP

门静脉高压症采用选择性贲门周围血管离断术治疗疗效分析 　　[摘要] 目的 观察分析门静脉高压症采用选择性贲门周围血管离断术治疗的临床疗效。 方法 随机选取该院2014年1月―2017年2月期间收治的100例门静脉高压症患者，按照不同的治疗方式随机分为实验组（50例，采用选择性周围血管离断术治疗）和对照组（50例，采用经典贲门周围血管离断术治疗），对比分析两组患者手术前后自由门静脉压力（FPP）以及肝性脑病、门静脉高压性胃病、复发出血率以及3年存活率等情况。结果 两组患者术后FPP水平相对于术前均有所下降（P0.05），但实验组患者术后FPP水平明显低于对照组（P0.05）。实验组患者肝性脑病率（6.0%）、门静脉高压性胃病率（14.0%）、再出血率（4.0%）等均明显低于对照组10.0%、48.0%、10.0%，实验组患者3年存活率（96.0%）显著高于对照组（82.0%）。结论 门静脉高压症采用选择性贲门周围血管离断术治疗的临床效果良好，具有断流术、分流术的双重作用，是一种值得广泛推广的合理手术方式。 　　[关键词] 选择性贲门周围血管离断术；门静脉高压症；疗效观察 　　[中图分类号] R657 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0089-03 　　Analysis of Curative Effect of Selective Pericardial Devascularization in Treatment of Portal Hypertension 　　YANG Hai-rong 　　Department of General Surgery， Qidong Third People’s Hospital， Qidong， Jiangsu Province， 226200 China 　　[Abstract] Objective To observe and analyze the clinical curative effect of Selective pericardial devascularization in treatment of portal hypertension. Methods 100 cases of patients with portal hypertension admitted and treated in our hospital from January 2014 to February 2017 were randomly selected and randomly divided into two groups according to the treatment method with 50 cases in each， the experimental group and the control group were respectively treated with selective pericardial devascularization and classical ben peripheral vascular amputation surgery， and the FPP， hepatic encephalopathy and portal hypertensive gastropathy， recurrent bleeding rate and 3-year survival rate were compared between the two groups. Results The FPP level after operation of the two groups decreased compared with that before operation（P0.05）， but the FPP level after operation in the experimental group was obviously lower than that in the control group（P0.05）， and the hepatic encephalopathy rate and portal hypertensive gastropathy rate， recurrent bleeding rate in the experimental group were obviously lower than those in the control group（6.0%， 14.0%， 4.0% vs 10.0%， 48.0%， 10.0%）， and the 3-year survival