门脉高压症贲门周围血管离断术不必附加幽门成形术

To observe the gastric emptying of patientwith portal hypertesion after D.P.D

目的:探讨肝硬化门脉高压症病人行脾切除贲门周围血管离断术附加幽门成形术的必要性并观察保留迷走神经对胃排空功能恢复的影响。方法:观察肝硬化门脉高压症病人行脾切除贲门周围血管离断术双侧迷走神经主干切断组与保留迷走神经或附加幽门成形术组胃排空功能恢复情况。结果:双侧迷走神经主干切断组胃排空功能恢复平均时间5.2d,附加幽门成形术或保留迷走神经组分别为4.2d和4.1d。前者发生胃潴留2/36(6%)例,但均于短时间内恢复;后者未见胃潴留发生。结论:认为贲门周围血管离断术附加幽门成形术非为必需。

Objective:To explore the necessity of splenectom y and D.P.D procedures with pyloroplasty for patients with L .C and portal hypertesion,and to observe the influence of the function of gastric emptying with vagus were kept. Methods:To observe the resume of gastric emptying of different groups of patients with L.C and portal hypertesion,one group were underwent splenectomy and D.P.D procedures with both vagotomy,and the other one’s vagus were kept with or withoutpyloroplasty.Result:The average time of the resume of gastric em ptying for the group of both vagotomy is5 .2 days,and4 .2 days for the former with pyloroplasty,4 .1days for the patients of vagus kept.2 in3 6cases suffered from stom ach tarry in the former way are resum ed in a short time,and none occurs with stomach tarry in the later. Conclusion:D.P.D with pyloroplasty isn’t necessary,but D.P.D with vagus kept do benefit.