改良Sugiura手术与Hassab手术治疗门静脉高压症的疗效比较

Comparison of modified Sugiura operation and Hassab operation in the treatment of portal hypertension

目的探讨改良Sugiura手术与Hassab手术在门静脉高压症治疗中的疗效。方法回顾性分析行改良Sugiura手术30例（改良组）与同期行Hassab手术34例（断流组）门静脉高压症患者的临床资料。结果两组术中出血量、手术时间、术后切口感染率、早期肝性脑病发生率、腹水发生率、住院时间、术后远期再出血发生率比较差异无统计学意义（P〉O．05）；两组均无手术死亡病例，但改良组食管静脉曲张消失者明显多于断流组（P〈O．05）。结论改良Sugiura手术后的食管静脉曲张消失率明显高于Hassab手术，但两者的远期疗效相似。

Objective To discuss the therapeutic effect of modified Sugiura operation （MSO） and Hassab operation （HO） in the treatment of portal hypertension. Method The operative safety, postoperative reeovery, complications and follow-up results were compared between 30 cases of MSO （MSO group） and 34 cases of HO （HO group）. Results There were no significant difference between the two groups intraoperative blood loss, operation time, postoperative complications and hospitalization days （P 〉 0.05 ）. The number of cases with disappearance of esophageal varices was significantly higher in MSO group than that in HO group （P 〈 0.05 ）. Conclusions The obliteration rate of esophageal varices is significantly better after MSO than that after HO. However, the long-term therapeutic effects are similar.