CAJ | 학술논문

目的：探讨分析胆石症合并门静脉高压症的外科治疗效果。方法：从我院胆石症合并门静脉高压症患者中选取47例进行研究，分析外科治疗方法在胆石症合并门静脉高压症疾病临床上的治疗效果。结果：本次研究选取的47例胆石症合并门静脉高压症患者，临床治疗痊愈率为65.96%，死亡率为34.04%（其中，4例患者实施手术治疗过程中门静脉损伤大出血、3例患者腹腔广泛渗血致D I C、5例患者术后肝功能出现衰竭现象、2例患者术后食管静脉破裂、2例患者为其他原因）；出现并发症发生率为38.24%，1例术中大出血、4例胆囊床出血、2例胆漏、5例难治性腹水、1例切口延迟愈合。结论：外科治疗方法在治疗胆石症合并门静脉高压症疾病临床上具有良好效果，依据患者具体病情对其实施相应治疗，延长其有效生命周期。
목적：탐토분석담석증합병문정맥고압증적외과치료효과。방법：종아원담석증합병문정맥고압증환자중선취47례진행연구，분석외과치료방법재담석증합병문정맥고압증질병림상상적치료효과。결과：본차연구선취적47례담석증합병문정맥고압증환자，림상치료전유솔위65.96%，사망솔위34.04%（기중，4례환자실시수술치료과정중문정맥손상대출혈、3례환자복강엄범삼혈치D I C、5례환자술후간공능출현쇠갈현상、2례환자술후식관정맥파렬、2례환자위기타원인）；출현병발증발생솔위38.24%，1례술중대출혈、4례담낭상출혈、2례담루、5례난치성복수、1례절구연지유합。결론：외과치료방법재치료담석증합병문정맥고압증질병림상상구유량호효과，의거환자구체병정대기실시상응치료，연장기유효생명주기。
objective: to study the analysis of cholelith disease combined effect of surgical treatment of portal hypertension. Methods: our hospital cholelith disease merger in patients with portal hypertension from 47 cases were studied, analysis of surgical treatment in cholelith disease with portal hypertension disease clinical curative effect. Results: this study selected 47 cholelith disease with portal hypertension patients, the clinical healing rate was 65.96%, the mortality was 34.04%, among them, 4 cases of portal vein injury during the process of implementation of surgical treatment for patients with massive hemorrhage, 3 cases with abdominal bleeding caused by DIC, 5 patients with postoperative liver function failure phenomenon, 2 cases of postoperative esophageal vein rupture, 2 patients for other reasons). The incidence of complications was 38.24%, 1 case of intraoperative bleeding, 4 cases of gal bladder bed bleeding, bile leakage in 2 cases, 5 cases of refractory ascites, 1 case incision delayed healing. Conclusion: surgical treatment method for the treatment of cholelith disease with portal hypertension disease has good clinical effect, the implementation of the corresponding therapy according to the specific patient, prolong the life cycle effectively.