捆绑式贲门周围血管缝扎术的临床应用研究-外科学(普通外科)专业论文.docxVIP

华中科技大学硕士学位论文 华 中 科 技 大 学 硕 士 学 位 论 文 PAGE 1 PAGE 1 英文缩略词表 英文缩写 英文名称 中文名称 PH portal hyertension 门静脉高压症 ALT alanine aminotransferase 谷丙转氨酶 AST aspartate aminotransferase 谷草转氨酶 T-Bil total bilirubin 总胆红素 ALB albumin 血浆白蛋白 PT prothrombin time 凝血酶原时间 PLT platelet 血小板 EVL endoscopic variceal ligation 内镜血管套扎 DSRS distal spleen renal split-flow 远端脾一肾分流术 捆绑式贲门周围血管缝扎术的临床应用研究 摘要 目的：研究捆绑式贲门周围血管缝扎术在治疗门静脉高压症的应用价值 方法：选取 2002 年 1 月至 2012 年 10 月 464 例(Child-Pugh 分级为 B 级或 C 级)的门静脉高压症患者行脾切除加捆绑式贲门周围血管缝扎术及脾切除 加贲门周围血管离断术的病例对其手术并发症，死亡率，再出血率，手术 时间，住院时间，及住院费用进行回顾性分析。 结果：捆绑式贲门周围血管缝扎术组与贲门周围血管离断术组在近远期再 出血率及生存率上无明显统计学差异，但在并发症发生率，住院时间及住 院费用，手术时间及术中出血量上贲门周围血管缝扎术组略优于贲门周围 血管离断术组。 结论：捆绑式贲门周围血管缝扎术是治疗门静脉高压症食管胃底静脉曲张 的一种疗效确切，操作简单，并发症少的术式，适于中推广应用。 关键词 脾切除术 门静脉高压 缝扎术 离断术 The Clinical Research of The Cardiac Peripheral Vascular Ligation Surgery Candidate：Fan Yanan Supervisor： Prof. Mei BIN Hepatic Surgery Center，Tongji Hospital of Tongji Medical College of HUST Abstract Objective: To evaluate the value of the cardiac peripheral vascular ligation surgery in the in the treatment of portal hypertension Methods: From January 2002 to October 2012， 464 patients with portal hypertension (Child-Pugh grade for class B or C) underwent splenectomy plus cardiac peripheral vascular ligation surgery or splenectomy plus pericardial devascularization surgery were investigated. The complications, mortality, and rebleeding rate, operation time, lenth of hospital stay and hospital costs were reviewed retrospectively . Results: the cardiac peripheral vascular ligation surgery group and pericardial devascularization group have no significant difference in the short and long term rebleeding and survival , but the complications, length of hospital stay and charge of be in hospital, surgery time and the amount of bleeding during operations, the former group is superior to the later group. Conclusion: The cardiac peripheral vascular ligation surgery is a proper treatment of portal hypertension patient with