中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
10期
1597-1598
,共2页
介入断流术%门静脉高压症%上消化道出血%脾亢进
介入斷流術%門靜脈高壓癥%上消化道齣血%脾亢進
개입단류술%문정맥고압증%상소화도출혈%비항진
Interventional disconnection%Portal hypertension%Upper gastrointestinal bleeding%Hypersplenism
目的：：观察介入断流术治疗肝硬化门静脉高压症的临床疗效，分析其预后，探讨有助于疾病好转的因素，提高治疗效率，减轻患者痛苦。方法：选取我院自2002年3月~2008年3月收治的肝硬化门脉高压症患者120例进行回顾性分析，术后随访3个月~3年。将患者采用的治疗方法不同分为两组，介入组为进行介入治疗的病例60例；对照组为进行外科断流术治疗的病例60例。对比手术效果、静脉管径大小、血流速度、血流量、术后随访再出血、脾亢进情况。结果：介入组60例患者曲张出血静脉全部得到栓塞病例数、静脉管径变小病例数、血流速降低病例数、血流量下降病例数、脾亢进消除数均高于对照组，两组别比较有显著统计学差异(P<0.05)；术后随访3个月~3年，介入组有2例患者再次出血，对照组有12例患者再次出血，统计学差异显著(P<0.05)。结论：介入断流术治愈率高、栓塞效果好、复发率低、操作方法简单、创伤小、对于肝硬化门静脉高压症治疗中具有较高的临床应用价值。
目的：：觀察介入斷流術治療肝硬化門靜脈高壓癥的臨床療效，分析其預後，探討有助于疾病好轉的因素，提高治療效率，減輕患者痛苦。方法：選取我院自2002年3月~2008年3月收治的肝硬化門脈高壓癥患者120例進行迴顧性分析，術後隨訪3箇月~3年。將患者採用的治療方法不同分為兩組，介入組為進行介入治療的病例60例；對照組為進行外科斷流術治療的病例60例。對比手術效果、靜脈管徑大小、血流速度、血流量、術後隨訪再齣血、脾亢進情況。結果：介入組60例患者麯張齣血靜脈全部得到栓塞病例數、靜脈管徑變小病例數、血流速降低病例數、血流量下降病例數、脾亢進消除數均高于對照組，兩組彆比較有顯著統計學差異(P<0.05)；術後隨訪3箇月~3年，介入組有2例患者再次齣血，對照組有12例患者再次齣血，統計學差異顯著(P<0.05)。結論：介入斷流術治愈率高、栓塞效果好、複髮率低、操作方法簡單、創傷小、對于肝硬化門靜脈高壓癥治療中具有較高的臨床應用價值。
목적：：관찰개입단류술치료간경화문정맥고압증적림상료효，분석기예후，탐토유조우질병호전적인소，제고치료효솔，감경환자통고。방법：선취아원자2002년3월~2008년3월수치적간경화문맥고압증환자120례진행회고성분석，술후수방3개월~3년。장환자채용적치료방법불동분위량조，개입조위진행개입치료적병례60례；대조조위진행외과단류술치료적병례60례。대비수술효과、정맥관경대소、혈류속도、혈류량、술후수방재출혈、비항진정황。결과：개입조60례환자곡장출혈정맥전부득도전새병례수、정맥관경변소병례수、혈류속강저병례수、혈류량하강병례수、비항진소제수균고우대조조，량조별비교유현저통계학차이(P<0.05)；술후수방3개월~3년，개입조유2례환자재차출혈，대조조유12례환자재차출혈，통계학차이현저(P<0.05)。결론：개입단류술치유솔고、전새효과호、복발솔저、조작방법간단、창상소、대우간경화문정맥고압증치료중구유교고적림상응용개치。
Objective:Observation of the effect about interventional disconnection for hepatic portal hypertension,Analysis of the prognostic,discuss on the factors that contribute to disease,improve the treatment efficiency,reduce the suffering of patients.Methods:To analyze retrospectively selection of 120 examples about cirrhotic patients with portal hypertension from 2002 March to 2008 March in our hospital,Patients were followed up for 3 months to 3 years after operation.Patients of different treatments were divided into two groups,The intervention group for 60 patients undergoing interventional treatment cases;The control group for surgical revascularizations in the treatment of 60 cases.Effect comparison operation,vein diameter,blood flow velocity,blood flow,postoperative follow-up of rebreeding,hypersplenism.Results:Intervention group of 60 patients with varicose vein embolism,all cases of vein diameter,blood flow to reduce the number of cases of a number of cases,blood flow decreased the number of cases,the elimination of a number of hypersplenism were higher than the control group,with significant difference between the two groups (P<0.05);postoperative follow-up of 3 ~ 3 years,interventional group in 2 patients bleeding again,the control group had 12 patients bleeding again,a statistically significant difference (P<0.05).Conclusion:Revascularizations high cure rate,remobilization effect,low recurrence rate,simple operation,less trauma,with higher in cirrhotic patients with portal hypertension treatment in the clinical application value of interventional.
