门奇断流术治疗肝硬化合并门静脉高压及脾亢的疗效分析

The analysis of the efficacy of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and hypersplenism.

目的总结和分析脾切除加门奇断流术对肝硬化合并门静脉高压及脾亢的疗效。方法回顾性分析2000年1月至2004年6月间中山大学附属第一医院74例肝硬化门静脉高压脾亢病人采用脾切除加门奇断流术的资料,探讨其疗效。结果全组并发症发生率51.3%(38/74),1例死于全身感染及呼吸衰竭,其余病例经治疗后恢复良好。结论脾切除加门奇断流术治疗门静脉高压效果好。为提高手术疗效,应合理掌握手术适应证及手术时机,彻底断流,熟练掌握手术的技术要点,防止并发症的发生。

Objective To summarize and analyze the efficacy of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and hypersplenism. Methods A retrospective analysis was made on the resuits of 74 patients with hepatocirrhosis, portal hypertension and hypersplenism who were treated with disconnection from Jan,2000 to June,2004 in the first affiliated hospital of Sun Yat-sen University. Results The rate of complications was 51.3%. One patient died of systemic infection and respiration failure. The others recovered nicer after treatment. Conclusion The effect of portal-azygous disconnection with splenectomy for treating hepatocirrhosis with portal hypertension and hypersplenism appears to be effective. To improve the operated result,the following should be emphasized：the selection of the operative opportunity and indications, thorough porta-azygous disconnection and the performance of the operation in according to the corrective technique, prevention of surgical complications.