采用缝合器联合断流术治疗门脉高压症41例临床观察

Combined Devascularization with Stitching Instrument for Portal Hypertension:A Report of 41 Cases

目的评价采用缝合器联合断流术治疗门脉高压症出血临床效果及预后。方法总结41例采用缝合器联合断流术治疗门脉高压症出血患者的临床疗效及预后。结果本组未发生手术死亡及围手术期肝性脑病,22例术后出现中等量以上腹腔积液。41例均未发生胃瘘。37例随访1～3年,均未发生再出血。结论采用缝合器联合断流术是治疗门静脉高压上消化道出血的理想术式。

Objective To evaluate the therapy effect and prognosis of upper digestive tube hemorrhage resulted from Portal Hypertension , which is dealed with combined devascularization with stitching instrument. Methods Summarized the therapy and prognosis of 41 patients of upper digestive tube hemorrhage resulted from Portal Hypertension, dealed with combined devascularization with stitching instrument. Results All the patients above had no one die for operation and no one had complication of hepatoencephalopathy, after operation 22 patients of this group had complication with medium quantity of ascite. All the patients had no complication with gastric fistulas. Conclusions Combined devascularization with stitching instrument is the best operation for upper digestive tube hemorrhage resulted from Portal Hypertension.