中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
21期
45-46
,共2页
门静脉高压%Sugiura手术%改良%肝脏血流
門靜脈高壓%Sugiura手術%改良%肝髒血流
문정맥고압%Sugiura수술%개량%간장혈류
Portal hypertension%Sugiura surgery%Modified%Hepatic blood flow
目的 探讨改良Sugiura手术对门静脉高压患者肝脏血流的影响.方法 将106例门静脉高压症患者随机分为两组,对照组40例,观察组66例.对照组采用单纯行贲门周围血管离断术治疗,观察组采用改良Sug-iura手术治疗,术后1个月观察患者肝脏血流的变化.结果 两组手术后肝总血流量(THF)、门静脉血流量(PVF)和肝动脉血流(HAF)均有明显改善,并且观察组比对照组改善更明显(P＜0.05).采用Child分级评价肝功能,两组在术后肝功能分级均有明显改善,并且观察组比对照组改善更明显(P＜0.05).结论 改良Sugiura手术可以更明显改善门静脉高压症患者肝脏血流,从而改善肝脏功能.
目的 探討改良Sugiura手術對門靜脈高壓患者肝髒血流的影響.方法 將106例門靜脈高壓癥患者隨機分為兩組,對照組40例,觀察組66例.對照組採用單純行賁門週圍血管離斷術治療,觀察組採用改良Sug-iura手術治療,術後1箇月觀察患者肝髒血流的變化.結果 兩組手術後肝總血流量(THF)、門靜脈血流量(PVF)和肝動脈血流(HAF)均有明顯改善,併且觀察組比對照組改善更明顯(P＜0.05).採用Child分級評價肝功能,兩組在術後肝功能分級均有明顯改善,併且觀察組比對照組改善更明顯(P＜0.05).結論 改良Sugiura手術可以更明顯改善門靜脈高壓癥患者肝髒血流,從而改善肝髒功能.
목적 탐토개량Sugiura수술대문정맥고압환자간장혈류적영향.방법 장106례문정맥고압증환자수궤분위량조,대조조40례,관찰조66례.대조조채용단순행분문주위혈관리단술치료,관찰조채용개량Sug-iura수술치료,술후1개월관찰환자간장혈류적변화.결과 량조수술후간총혈류량(THF)、문정맥혈류량(PVF)화간동맥혈류(HAF)균유명현개선,병차관찰조비대조조개선경명현(P＜0.05).채용Child분급평개간공능,량조재술후간공능분급균유명현개선,병차관찰조비대조조개선경명현(P＜0.05).결론 개량Sugiura수술가이경명현개선문정맥고압증환자간장혈류,종이개선간장공능.
Objective To investigate the effect of modified Sugiura surgery on hepatic blood flow in patients with portal hypertension.Methods One hundred and six patients with portal hypertension were randomly divided into two groups,the control group (n =40) and the observation group (n =66).Patients in the control group were operated through simple line pericardial blood vessel disarticulation,while patients in the observation group were operated through modified Sugiura surgery.The hepatic blood flow were compared before and after one months of operation.Results The total hepatic blood flow,portal vein blood flow and hepatic arterial flow improved after one month of operation.There were significant differences between the two groups (P ＜ 0.05).According to Child grading,the liver functions in both groups improved after operation,there was significant difference between the two groups (P ＜ 0.05).Conclusions Modified Sugiura surgery can improve hepatic blood flow in patients with portal hypertension,so as to improve liver function.
