CAJ | 학술논문

目的：探讨选择性贲门周围血管离断术的临床应用效果。方法回顾性分析我院2010年1月至2013年8月86例肝硬化门脉高压接受断流手术患者的临床资料,按手术方式将其分为选择性断流组和传统断流组,对比2组的手术情况、术后肝功能指标、术后并发症情况。结果选择性断流组手术时间延长,FFP术后降低明显(P<0.05),出血量和输血例数2组间无统计学差异(P>0.05)；选择性断流组术后ALT和AST峰值、并发症发生率均低于传统断流组(P<0.05)；选择性断流组平均术后住院时间较传统断流组缩短(P<0.05)。结论选择性断流术能够更有效降低门静脉压力、减少术后近期并发症,值得临床推广。
목적：탐토선택성분문주위혈관리단술적림상응용효과。방법회고성분석아원2010년1월지2013년8월86례간경화문맥고압접수단류수술환자적림상자료,안수술방식장기분위선택성단류조화전통단류조,대비2조적수술정황、술후간공능지표、술후병발증정황。결과선택성단류조수술시간연장,FFP술후강저명현(P<0.05),출혈량화수혈례수2조간무통계학차이(P>0.05)；선택성단류조술후ALT화AST봉치、병발증발생솔균저우전통단류조(P<0.05)；선택성단류조평균술후주원시간교전통단류조축단(P<0.05)。결론선택성단류술능구경유효강저문정맥압력、감소술후근기병발증,치득림상추엄。
Objective To determine efficacy of selective devascularization in management of portal hypertension. Methods The clini-cal data of 86 patients of portal hypertension in our hospital from Jan. 2010 to Aug. 2013 were retrospectively analyzed. The patients were divided into the selective group and the nonselectove devascularization group according to the different devascularization ways. The postopera-tive liver function index and complications were analyzed. Results In selective devascularization group, the surgery time was prolonged (P<0. 05), the postoperative FPP was reduced (P<0. 05), and there was no difference in bleeding volume and blood transfusion cases (P>0. 05). The postoperative peak value of ALT and AST and postoperative pomplications in the selective devascularization group were low-er than those in the nonselectove devascularization group (P<0. 05). And patients in the selective devascularization group have a shorter hospital stay compared to the nonselectove devascularization group (P<0. 05). Conclusion Selective devascularization can lower free portal pressure more effectively, reduce incidence rates of postoperative early complications, and it is worthy of clinical promotion.