贲门周围血管离断术加内镜下曲张静脉套扎术治疗门静脉高压症

Pericardial devascularization plus endoscopic varix ligation for treatment of portal hypertension

1993年以来，我院应用贲门周围血管离断术加内镜下曲张静脉套扎术治疗门静脉高压症66例。结果：术后食管胃底静脉曲张消失率达95．5％（63／66）．无手术死亡．无严重并发症．远期再出血率为4．7％（3／64）．无肝性脑病发生．三年生存率达90．2％。我们认为此种联合断流术可降低术后再出血率．且不增加手术复杂性及手术创伤．适应证与单独应用贲门周围血管离断术同样广泛。

Pericardial devascularization plus endoscopic variceal ligation (EVL) was applied in our hospital as a new union devascularization therapy for 66 cirrhotic portal hypertension patients since 1993. Varices were eradicated in 95. 5% of the 66 patients before their discharge. No severe complications and operative mortality was associated with this therapy. Recurrent bleeding occurred in 4. 7 % of the 64 patients at long term. No postoperative encephalopathy was found. The 3-year survival was 90. 2 %. In conclusion, this new union devascularization could reduce recurrent bleeding rate. and bring no more operative complicity or injury. It had the same wide indications as single pericardiac devascularization.