Hassab术后并发症的相关因素分析

Analysis of correlated factors of postoperative complications in Hassab's procedure

目的对Hassab术后并发症的相关因素进行分析。方法回顾性分析186例Hassab术患者的临床资料。采用单因素和多元回归模型分析与Hassab术后并发症的相关因素。结果 Hassab术后并发症发生率为22.6%,手术死亡率为3.23%。单因素分析显示年龄、肝功能分级、断流后门静脉压力、术中出血量、术中输血量与并发症发生有关。多元回归分析显示年龄、肝功能分级、断流后门静脉压力、术中输血量是Hassab术后并发症发生的独立危险因素。认为对肝功能好、年龄小、断流后门脉压力<35cmH2O者,术中行精细操作,手术效果好;对于断流后门脉压力仍>35cmH2O的患者,应加行分流术。

Objective To studay the factors associated with postoperative complications of Hassab＇s operation. Methods A tota1 of 86 cases who underwent Hassab＇s operation between September 1996 and January 2006 were summarized retrospectively. Single-variant and multivariate stepwise regression model were used to analysis the factors associated with postoperative complications of resection of portal hypertension. Result The oveall morbidity rate and mortality rate were 22.6% and 3.23% respectively. Single-varian analysis show that the age, liver function, portal pressure after the devascularization,intraoprative blood loss and blood transfusion were associated with postoperative complications,multivariate stepwise regression analysis that the age,liver function, portal pressure after the devascularization and blood transfusion were independent risk factors of morbidity rate of Hassab＇s operation. Conclusion Hassab＇s operation was an effective procedure for patients who were good liver function,little age, below 35 cmH2O after the devascularization; The shunt should be performed in the patients with a post-devascularization portal pressure over 35 cmH2O.