巨脾切除术100例临床分析

Clinical analysis of 100 cases of megalosplenia lienectomy

目的:探讨门脉高压巨脾切除术的相关并发症。方法:对100例巨脾切除术后患者的术中出血量、术后引流液变清时间、腹水情况、发热情况、门静脉血栓发生率、引流液AMS值、术后住院天数等进行归纳分析。结果:门脉高压性巨脾行脾切除术存在较多术中及术后并发症,和巨脾解剖特点及术前肝功能分级、手术方式有关。结论:行巨脾切除术要熟悉巨脾解剖特点,改进手术方式。

Objective：To approach the correlated complications of megalosplenia lienectomy in hepatic portal hypertension（PHT）. Methods ：The amount of intraoperative bleeding, postoperative ascitic condition,time of postoperative drainage changing clear,postoperative fervescence,incidence of postoperative portal thrombus and postoperative hospitalization days in 100 cases of megalosplenia lienectomy were summarized and analyzed.Results：There existed many intraoperative and postoperative complications in megalosplenia lienectomy,which were related with the anatomic features of megalosplenia,hepatic functional classifications and operation modes.Conclusion： Performing megalosplenia lienectomy needs to be familiar with the anatomic features of megalosplenia and improve the operation mode.