改良sugiura术治疗门静脉高压症的临床分析

CLINICAL ANALYSIS OF MODIFIED SUGIURA IN THE TREATMENT OF PORTAL HYPERTENSION

目的对改良Sugiura术和Hassab术治疗门静脉高压症,术后再出血的疗效,进行分析研究。方法我院在2006年4月到2010年3月间,将86例门静脉高压症病人,随机分为A、B两组,A组采用改良Sugiura术(实验组n=37例)和B组采用Hassab术(对照组n=39例),总结两种方法的有关临床资料,对比研究其手术安全性和术后再出血发生率。结果两组各有1例死亡病例,研究组和对照组的手术时间、术后并发症发生率、术后恢复情况均无显著性差异(P>0.05),术后随访3个月到49个月,平均随访26.5个月,研究组再出血率2.7%,对照组再出血率为15.4%,两组有显著性差异(P<0.01)。结论改良Sugiura术治疗门静脉高压症是一种科学合理、安全可行的断流术式,其术后效果明显优于Hassab术。

Objective To study the re-bleeding rate of modified sugiura and Hassab in the treatment of poratal hypertension.Methods The patients with portal hypertension admitted on our hospital from April 2006 to March 2010 were randomly divided into modified Sugiura group（n=37）and Hassab group（n=39）.The re-bleeding rate,operation safety postoperative recovery were compared between two groups.Results There was 1 operative death in each group.There was no significant difference in operative time,postopearative recoveryand occurrence of cmomplicationd between the two groups（P〉0.05）.All patients were followed up for an average of 26.5 months.The re-bleeding rate in the modified Sugiura group and Hassab group was 2.7% and 15.4% respecively with the difference being singnificant（P〈0.01）.Conclusion Modified Sugiura is an effective,safe and feasible method for the treatment of poraal hypertension.