CAJ | 학술논문

目的：研究门脉高压症食管胃底静脉破裂急性大出血临床合理的手术治疗方法及其临床效果。方法选取该院78例肝硬化门脉症食管胃底静脉急性破裂大出血患者，分为两组分别采用门奇断流联合脾切除、大网膜包肾术和常规断流分流手术治疗肝硬化门脉症食管胃底静脉破裂大出血。对患者满意度、并发症、再出血、治疗前和治疗后各项肝功能指标进行统计。结果观察组的患者满意度明显高于对照组（c2=4.69），并发症发生率明显小于对照组（c2=9.36），P<0.05，差异均有统计学意义。治疗后患者各项肝功能指标的较治疗前明显好转，治疗后观察组各指标均比对照组好转明显，且P<0.05，差异有统计学意义。结论采用门奇断流联合脾切除加大网膜包肾术治疗门脉高压症食管胃底静脉急性破裂大出血是比较理想的一种急诊手术方法。
목적：연구문맥고압증식관위저정맥파렬급성대출혈림상합리적수술치료방법급기림상효과。방법선취해원78례간경화문맥증식관위저정맥급성파렬대출혈환자，분위량조분별채용문기단류연합비절제、대망막포신술화상규단류분류수술치료간경화문맥증식관위저정맥파렬대출혈。대환자만의도、병발증、재출혈、치료전화치료후각항간공능지표진행통계。결과관찰조적환자만의도명현고우대조조（c2=4.69），병발증발생솔명현소우대조조（c2=9.36），P<0.05，차이균유통계학의의。치료후환자각항간공능지표적교치료전명현호전，치료후관찰조각지표균비대조조호전명현，차P<0.05，차이유통계학의의。결론채용문기단류연합비절제가대망막포신술치료문맥고압증식관위저정맥급성파렬대출혈시비교이상적일충급진수술방법。
Objective To study the portal hypertension esophageal variceal acute massive hemorrhage clinical reasonable operation treatment method and clinical effect. Methods in our hospital 78 cases of portal cirrhosis patients with esophageal gastric fundus vein acute rupture hemorrhage patients, divided into two groups respectively by means of portal azygous disconnection with splenectomy, omental transposition and conventional treatment of portal devascularization shunt operation for patients with esophageal and gastric variceal bleeding. For the satisfaction of patients, complications, bleeding, before and after treatment liver function indicators for statistical. Results in the observation group, the patients’satisfaction was significantly higher than the control group (c2=4.69), the rate of complications was significantly lower than that of control group (c2=9.36), are P<0.05, with significant difference. After treatment of patients with liver function indexes were significantly improved after treatment, after treatment, observation group each indicators than group improved significantly, the control and the P<0.05, with significant difference.Conclusion This method is an ideal method in emergency operation.