门脉高压症三种术式疗效的比较

Comparison of Three Operative Procedures in Portal Hyptertension

1980年1月至1991年2月,我院收治了204例门脉高压症病人。术前都进行了1个月的保肝治疗,使肝功能尽量达到 Child A 级或 B 级水平后,择期手术。手术分别采用了脾切除加大网膜包肾术、脾切除加门奇静脉断流术及各种形式的分流术。术后对全部病人进行了1～10年的随访,并对三种术式的疗效进行了比较。断流术的远期生存率优于其他两种术式。本文对断流术远期疗效之所以满意的原因进行了分析,并指出了手术成功的关键。

From Jan,1981 to Feb,1991,204 cases of portal hypertension were treated in ourhospital.All patients had been treated for protecting liver function for one month beforeoperation.The operation was not performed until the results of liver function testsreached Child A or B grade.Splenectomy with the kidney wrapped in omentum,sple-nectomy with portaazygos block and various shunt procedures were(?)used separately.Allpatients were followed-up for 1 to 10 years after operations.The effects of treatmentamong three types of operations were compared.The long term survival rate of bloc-king procedures was better than those of two others.