CAJ | 학술논문

目的探讨改良Sugiura术治疗门静脉高压症的临床疗效.方法回顾性分析30例施行改良Sagiura术治疗门静脉高压症患者的临床资料.结果术中分别测量自由门静脉压力(FPP):切脾前为(3.06±0.39)kPa,切脾后为(3.07±0.32)kPa,离断术后为(3.22±0.31)kPa,切脾后与切脾前差异有统计学意义(P<0.01),但与离断术后差异无统计学意义(P>0.05).2例早期出现肝性脑病,27例术后3～6个月食管静脉曲张基本消失,1例术后16个月死于肝硬化恶变.有25例患者随访3年,2例再出现上消化道出血,远期未发现肝性脑病患者.结论改良Sugiura术是治疗门静脉高压症较为理想的有效术式,能降低术后远期再出血率、静脉曲张复发率及肝性脑病发生率.
목적 탐토개량Sugiura술치료문정맥고압증적림상료효.방법 회고성분석30례시행개량Sagiura술치료문정맥고압증환자적림상자료.결과 술중분별측량자유문정맥압력(FPP):절비전위(3.06±0.39)kPa,절비후위(3.07±0.32)kPa,리단술후위(3.22±0.31)kPa,절비후여절비전차이유통계학의의(P<0.01),단여리단술후차이무통계학의의(P>0.05).2례조기출현간성뇌병,27례술후3～6개월식관정맥곡장기본소실,1례술후16개월사우간경화악변.유25례환자수방3년,2례재출현상소화도출혈,원기미발현간성뇌병환자.결론 개량Sugiura술시치료문정맥고압증교위이상적유효술식,능강저술후원기재출혈솔、정맥곡장복발솔급간성뇌병발생솔.
Objective To explore the clinical curative effect of the modified Sugiura surgieal operation on the portal hypertension. Methods Look back of sex analysis the Sugiura surgical operation of 30 enforcement im-provement to cure a door the disease sufferer's clinical data of the vein high pressure. Results Measure a free door vein pressure(FPP) respectively in the Sugiura operation: slice before the Pi FPP for (3.06±0.39) kPa, slice after the Pi FPP for (3.07±0.32) kPa, leave to break after the surgical operation FPP for (3.22±0.31) kPa, showed difference(P <0.01) very much with slice before the Pi after slicing Pi,but with leave to break surgieal iperation be-hind do not show difference(P > 0.05). 2 earlier period appear the liver brain disease.27 patients 3 ～ 6 eclipse of the moon tube basic disappearance of the varixes after the surgical operation, die in cirrhosis after a surgical operation bad for 16 months change. There are 25 sufferers with visit for 3 years,2 appear again to bleed up the digest way and the forward didn't discover the liver brain patient's. Conclusion Improve the Sugiura surgical operation cures the dis-ease more ideal valid surgical operation type of a vein high pressure,long-term after can lower surgical iperafion again the issue of blood rate,varix relapse the attack source of vitality rate of rate and liver brain.