改良Sugiura手术治疗门静脉高压症47例临床分析

Clinical Analysis of 47 Cases of Portal Hypertension Treated with Modified Sugiura Operation

目的:探讨改良Sugiura术治疗门静脉高压症的疗效。方法:回顾性分析47例门静脉高压症行改良Sugiura术患者的临床资料。结果:手术后近期止血效果确切,手术死亡率为2.01%(1/47),再出血率为4.4%(2/47),术后未发生肝性脑病,术后所有患者食管下段静脉曲张消失或者明显好转。无吻合口狭窄和吻合口瘘发生。结论:改良Sugiura术治疗门静脉高压症手术操作简便,疗效较好,并发症少,值得临床推广应用。

Objective： To assess the effects of modified sugiura surgical procedure for portal hypertension. Methods： Clinical documents of 47 patients with portal hypertension treated by modified sugiura operation were analyzed retrospectively. Results： There was good effect of modified sugiura surgical procedure for portal hypertension in preventing recent post-operative bleeding, one patient died, the mortality was 2.01% （ 1/47 ）. The syndrome of esophageal varices disappeared or markedly improved after the operation in the rest patients. Two patients rebleeded, the rebleeding rate was 4.4% （2/47）. No hepatic encephalopathy, anastomotic leakage, nor stricture was observed. Conclusion： Modified sugiura operation was an effective treatment for portal hypertension, with relatively more convenient operation and less complications.