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心包去血管化联合拉塔热氏神经支配术治疗门静脉高压症患者

Pericardial devascularization combined with Latarjet's innervation in the treatment of patients with portal hypertension.

作者信息

Li S, Wu E, Huang J, Luo C

机构信息

Department of Surgery, Beijing Army General Hospital, Beijing 100700, China.

出版信息

Chin Med J (Engl). 1998 Dec;111(12):1087-9.

PMID:11263370
Abstract

OBJECTIVE

To study the effect of pericardial devascularization combined with Latarjet's innervation on portal hypertension.

METHODS

Forty-eight patients undergoing pericardial devascularization combined with Latarjet's innervation were compared with 57 patients with devascularization. Clinical results were evaluated by postoperative portal vein pressure, postoperative rebleeding, operative mortality, abdominal distension, sudden diarrhea, and gastric retention.

RESULTS

The incidence of rebleeding, mortality, abdominal distension, sudden diarrhea, and gastric retention was 2%, 6.3%, 6.3%, 4.2% and 0% respectively in pericardial devascularization combined with Latarjet's innervation, and 12.5%, 12.3%, 24.6%, 15.6% and 14% respectively in devascularization.

CONCLUSIONS

Pericardial devascularization combined with Latarjet's innervation preserves the normal function of gastric emptying. This method plays an important role in maintaining nutritional supply and digestive function.

摘要

目的

研究心包去血管化联合Latarjet神经支配对门静脉高压的影响。

方法

将48例行心包去血管化联合Latarjet神经支配的患者与57例行去血管化的患者进行比较。通过术后门静脉压力、术后再出血、手术死亡率、腹胀、突发性腹泻和胃潴留来评估临床结果。

结果

心包去血管化联合Latarjet神经支配组的再出血、死亡率、腹胀、突发性腹泻和胃潴留发生率分别为2%、6.3%、6.3%、4.2%和0%,而去血管化组分别为12.5%、12.3%、24.6%、15.6%和14%。

结论

心包去血管化联合Latarjet神经支配可保留胃排空的正常功能。该方法在维持营养供应和消化功能方面发挥着重要作用。

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Chin Med J (Engl). 1998 Dec;111(12):1087-9.
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