中国医药导刊
中國醫藥導刊
중국의약도간
CHINESE JOURNAL OF MEDICAL GUIDE
2013年
3期
403-404
,共2页
肝硬化%门脉高压症%脾切除%门奇断流术%预后%风险因素
肝硬化%門脈高壓癥%脾切除%門奇斷流術%預後%風險因素
간경화%문맥고압증%비절제%문기단류술%예후%풍험인소
Cirrhosis%Portal hypertension%Splenectomy%After portaazygous devascularization%Prognosis%Risk factors
目的:研究分析影响肝硬化门脉高压症脾切除门奇断流术后预后主要风险因素.方法:回顾性分析20例患者的临床资料,总结影响术后预后的主要因素.结果:单因素分析中年龄、手术耗时、术中输血量、肝硬化分级、食管胃底静脉曲张程度、手术时机等因素影响术后的预后.多因素分析中食管胃底静脉曲张程度、肝硬化分级、术中输血量为独立风险因素.结论:肝功能分级、食管胃底静脉曲张程度、术中输血量是影响肝硬化门脉高压症脾切除门奇断流术后预后主要风险因素.
目的:研究分析影響肝硬化門脈高壓癥脾切除門奇斷流術後預後主要風險因素.方法:迴顧性分析20例患者的臨床資料,總結影響術後預後的主要因素.結果:單因素分析中年齡、手術耗時、術中輸血量、肝硬化分級、食管胃底靜脈麯張程度、手術時機等因素影響術後的預後.多因素分析中食管胃底靜脈麯張程度、肝硬化分級、術中輸血量為獨立風險因素.結論:肝功能分級、食管胃底靜脈麯張程度、術中輸血量是影響肝硬化門脈高壓癥脾切除門奇斷流術後預後主要風險因素.
목적:연구분석영향간경화문맥고압증비절제문기단류술후예후주요풍험인소.방법:회고성분석20례환자적림상자료,총결영향술후예후적주요인소.결과:단인소분석중년령、수술모시、술중수혈량、간경화분급、식관위저정맥곡장정도、수술시궤등인소영향술후적예후.다인소분석중식관위저정맥곡장정도、간경화분급、술중수혈량위독립풍험인소.결론:간공능분급、식관위저정맥곡장정도、술중수혈량시영향간경화문맥고압증비절제문기단류술후예후주요풍험인소.
@@@@Objective:Analysis of influence of cirrhotic portal hypertension splenectomy after devascularization main risk factor prognosis.Methods:A retrospective analysis of 20cases of patients with clinical data, summarized the influence of postoperative prognostic factors.Results:Univariate analysis of age, operation time, intraoperative blood transfusion, the grade of cirrhosis, esophageal gastric varices, operation time factors influencing the postoperative prognosis. Analysis of multiple factors of esophageal gastric varices in liver cirrhosis, grading, intraoperative blood transfusion is an independent risk factor.Conclusion:The grade of liver function, esophageal and gastric varices, intraoperative blood transfusion is the influence of cirrhotic portal hypertension and splenectomy after devascularization main risk factor prognosis.
