摘要
根据５５例小儿门静脉高压门奇静脉断流术的疗效观察，探讨影响疗效的因素与手术方法。５５例分别采用食管静脉结扎术、脾切除加大网膜固定术、Ｈａｓｓａｂ手术、改良Ｓｕｇｉｕｒａ手术与Ａｏｋｉ手术，无手术死亡率。经过６月～５年随访，生存５０例（９１％），死亡５例（９％），术后食管再出血率７．３％，无术后肝性脑病。结果提示肝功能Ｃｈｉｌｄ分级，手术时机的选择，引起门静脉高压的病理以及手术方式是影响疗效的因素；
This paper reports the results of devascularization procedures for 55 cases of portal hypertension with esophageal variceal in children. The procedures included esophageal variceal ligation, splenectomy and omentorenalopexy, Hassab procedure, modified Sugiura procedure and modified Aoki procedure. No operative death occurred in this series. All of the patients were followedup for six month to 5 years. The survival rate is 91%; the esophageal varices recurrent rate is 14.3%; the variceal rebleeding rate is 7.3%, respectively. The results of this study show that the Child class, the pathological classfication, the procedure perfomed time are the factors which can influence the results of the therapy. The surgical technic of devascularization also plays an important role in the treatment.
出处
《中国普通外科杂志》
CAS
CSCD
1998年第2期77-79,共3页
China Journal of General Surgery
