扩大贲门周围血管离断术治疗门静脉高压症疗效分析

Effects analysis of extended hassab's procedure for portal hypertension

采用扩大贲门周围血管离断术治疗门静脉高压症73例。近期无再出血发生，远期再出血率为5．3％。急诊手术死亡率为15％，明显高于择期手术死亡率1．9％（P＜0．05）。肝功能按Child分级，C级者手术死亡率为25％，明显高于A、B级的1．6％（P＜0．01）。术后食管静脉曲张全部得到改善。2年和4年生存率分别为94.7％和87.7％。认为扩大贲门周围血管离断术近、远期疗效是令人满意的。急诊断流术或／和肝功能C级者手术效果欠佳。

73 cases of portal hypertension underwent azygoportal disconnection by extended Hassab's procedure. After operation the short-term and long-term rebleeding rates were 0 and 5. 3 %, respectively. The mortality(15 % )of the emergeney operation is much higher than that (1. 9 % )of the selective operation (P<0.05), Patients with liver function graded Child C had a mortality of 25% which is significantly higher (P<0.01)than that (1. 6 % )observed in those with liver function of Child A or B. All patients showed obviously improved in the esophageal esophageal varicosis after operation. The rates of 2-year and 4-year survival were 94. 7 % and 87. 7 %, separatly. The short and long-term results in extended Hassab's procedure are very good. The benefit given by the emergency operation or by operation on those with liver function of Child C is not much to patients.