摘要
作者联合应用Ｈａｓｓａｂ手术和Ｌｉｎｔｏｎ手术治疗肝硬变门静脉高压症６９例，其中３６例附加吻合口固定。进行了１～４年的随访并观察了术后血液动力学变化。结果：术后均未发生再出血，均有食管静脉曲张消失或减轻；附加吻合口固定组术后未发生吻合口扩张，门静脉血流量的减少大多在３０％以内，无肝性脑病发生；未加吻合口固定组，术后３个月吻合口扩张１９例，门静脉血流量的减少大于３０％，发生肝性脑病４例；两组比较差异有显著性。提示断流术加小口径分流术治疗肝硬变门静脉高压症的合理性和附加吻合口固定的必要性。
Abstract cases of portal hypertension were treated with combined Hassab and Linton procedure, in which 36 cases were treated with additional shunt stoma fixation. There was no recurrent bleeding during the period of 1～4 year's follow-up. In the shunt stoma fixation group, no shunt augmentation was observed, portal flow reduction was less than 30%, and no encephalopathy. In the group without fixation, stoma augmented in 19 cases,portal flow reduction was larger than 30% ,and encephalopathy observed in 4 cases.
出处
《普外临床》
CSCD
1996年第6期328-331,共4页
