探讨胆石症合并门静脉高压症的外科治疗效果分析.docxVIP

探讨胆石症合并门静脉高压症的外科治疗效果分析 崔广龙 （河北省承德市隆化县医医院普外一科 068150） 【摘要】目的：探讨分析胆石症合并门静脉高压症的外科治疗效果。方法： 从我院胆石症合并门静脉高压症患者中选取47例进行研究，分析外科治疗方法 在胆石症合并门静脉高压症疾病临床上的治疗效果。结果：木次研究选取的47 例胆石症合并门静脉高压症患者，临床治疗痊愈率为65.96%,死亡率为34.04% （其中，4例患者实施手术治疗过程中门静脉损伤大出血、3例患者腹腔广泛渗 血致DIC、5例患者术后肝功能出现衰竭现象、2例患者术后食管静脉破裂、2例 患者为其他原因）；出现并发症发牛率为38.24%, 1例术中大出血、4例胆.囊床 出血、2例胆漏、5例难治性腹水、1例切口延迟愈合。结论：外科治疗方法在 治疗胆石症合并门静脉高压症疾病临床上具有良好效果，依据患者具体病情对其 实施相应治疗，延长其有效牛命周期。 【关键词】胆石症合并门静脉高压症 外科治疗 临床效果 【中图分类号】R575.6+2 【文献标识码】A 【文章编号】1672-5085 （2014） 27-0020-02 【Abstract] objective: to study the analysis of cholelith disease combined effect of surgical treatment of portal hypertension. Methods: our hospital cholelith disease merger in patients with portal hypertension from 47 cases were studied, analysis of surgical treatment in cholelith disease with portal hypertension disease clinical curative effect. Results: this study selected 47 cholelith disease with portal hypertension patients, the clinical healing rate was 65.96%, the mortality was 34.04%, among them, 4 cases of portal vein in jury duri ng the process of impleme ntation of surgical treatment for patients with massive hemorrhage, 3 cases with abdominal bleeding caused by DIC, 5 patients with postoperative liver function failure phenomenon, 2 cases of postoperative esophageal vein rupture, 2 patients for other reasons). The incidenee of complications was 38.24%, 1 case of intraoperative bleeding, 4 cases of gallbladder bed bleeding, bile leakage in 2 cases, 5 cases of refractory ascites, 1 case incision delayed healing. Conclusion: surgical treatment method for the treatment of cholelith disease with portal hypertension disease has good clinical effect, the implementation of the corresponding therapy according to the specific patient, prolong the life cycle effectively. 在肝胆外科，胆石症合并门静脉高压症为一种多发的、常见的疾病，门脉高 压患者胆管周围血流瘀滞、肝功能异常，进而使其胆红素代谢紊乱，降低胆囊收 缩及排空能力，进而岀现结石症状［l］o在对胆石症合并门静脉高压症患者进行 治疗时，极易出现较多并发症，影响患者整体治疗效果［2］。 针对该种现象的出现，笔者特从我院胆石症合并门静脉高压症患者中选取47例 进行研究，报告如下： 1 ?资料与方法 1.1临床资料 选取我院在2013年7月至20