手助腹腔镜脾切除联合贲门周围血管离断术治疗肝硬化门脉高压症临床研究

Clinical Study of Hand Assisted Laparoscopic Splenectomy Combined With Cardiac Peripheral Vascular Disconnection in the Treatment of Liver Cirrhosis With Portal Hypertension

目的探究手助腹腔镜脾切除联合贲门周围血管离断术治疗肝硬化门脉高压症临床疗效。方法选取我院收治的44例肝硬化门脉高压患者,随机分组,各22例。常规组实施开腹脾切除与贲门周围血管离断术联合治疗。研究组实施手助腹腔镜脾切除与贲门周围血管离断术联合治疗。统计两组患者手术情况及术后并发症发生情况。结果研究组并发症发生率9.1%低于常规组68.2%,两组差异有统计学意义(P<0.05)。结论对肝硬化门脉高压患者采用手助腹腔镜脾切除与贲门周围血管离断术联合治疗,效果颇佳,且术后并发症发生率较低,在临床治疗中具有重要意义。

Objective To explore the clinical efficacy of hand assisted laparoscopic splenectomy combined with cardiac peripheral vascular disconnection in the treatment of liver cirrhosis with portal hypertension. Methods 44 patients with cirrhosis and portal hypertension in our hospital were selected. They were randomly divided into two groups,22 cases in each group. The conventional group was treated with open splenectomy and cardiac peripheral vascular disconnection. The study group was treated by hand assisted laparoscopic splenectomy combined with cardiac peripheral vascular disconnection. We statistically analyzed the operation and postoperative complications of the two groups. Results The incidence of complications in the study group was 68.2% lower than that in the conventional group（two）,and the difference was statistically significant（P ＆lt; 0.05）. Conclusion Hand assisted laparoscopic splenectomy combined with cardiac peripheral vascular disconnection in the treatment of liver cirrhosis with portal hypertension,has good effect,and the incidence of postoperative complications is low,which is of great significance in clinical treatment.