改良腹腔镜巨脾切除联合贲门周围血管离断术治疗门静脉高压症的效果

中图分类号：R657.34
文献标志码：A
文章编号：2096-1413(2019)30-0095-02
Effect of modified laparoscopic splenectomy combined with pericardial devascularization in the treatment of portal hypertension
者随机分为观察组（n=50，改良腹腔镜巨脾切除联合贲门周围血管离断术治疗，改良部分在于采用脾静脉近端结扎）和对照组
（n=50，传统开腹巨脾切除联合贲门周围血管离断术）。比较两组患者的临床指标及术后并发症发生情况。结果 观察组的手术时
间显著长于对照组，术中出血量显著少于对照组，术中输血率显著低于对照组，住院时间显著短于对照组，住院费用显著高于
对照组（P<0.05）。观察组的术后并发症总发生率为 10.00%，显著低于对照组的 26.00%（P<0.05）。结论 改良腹腔镜巨脾切除联
合贲门周围血症少，利于患者恢复。
关键词：静脉高压症；脾静脉近端结扎；腹腔镜；巨脾切除；贲门周围血管离断术
CHEN Zhi-quan, LIU Xue-jun *, NIE Xiao-hui, ZHU Yu-xian (the First People's Hospital of Aksu, Aksu 843000, China)
ABSTRACT: Objective To observe the effect of modified laparoscopic splenectomy combined with pericardial devascularization in the treatment of portal hypertension. Methods One hundred patients with portal hypertension admitted in our hospital were randomly divided into observation group (n =50, given modified laparoscopic splenectomy combined with pericardial devascularization, and the improved part was proximal ligation of splenic vein) and control group (n=50, given traditional open splenectomy combined with pericardial devascularization). The clinical indicators and postoperative complications of the two groups were compared. Results The operation time in the observation group was significantly longer than that in the control group, the intraoperative bleeding volume was significantly less than that in the control group, the intraoperative blood transfusion rate was significantly lower than that in the control group, the hospitalization time was significantly shorter than that in the control group, and the hospitalization cost was significantly higher than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group was 10.00%, which was significantly lower than 26.00% in the control group (P<0.05). Conclusion Modified laparoscopic splenectomy combined with pericardial devascularization in the treatment of portal hypertension has less intraoperative bleeding volume, lower intraoperative blood transfusion rate, shorter hospital stay and fewer complications, which is beneficial to the recovery of patients. KEYWORDS: portal hypertension; proximal ligation of splenic vein; laparoscopic; splenectomy; pericardial devascularization
2019 年 10 月
临床医学
改良腹腔镜巨脾切除联合贲门周围血管离断术治疗
门静脉高压症的效果
陈 智 全 ，刘 学 军 *，聂 晓 辉 ，朱 玉 先 （阿 克 苏 地 区 第 一 人 民 医 院 ，新 疆 阿 克 苏 ，843000）
摘要：目的 观察改良腹腔镜巨脾切除联合贲门周围血管离断术治疗门静脉高压症的效果。方法 将我院 100 例门静脉高压症患