| 摘要: |
| ［摘要］ 目的 探讨完全腹腔镜与开腹行脾切除联合贲门周围血管离断术治疗门脉高压症的安全性及临床疗效。方法 回顾性分析该院72例门脉高压症患者完全腹腔镜与开腹行脾切除联合贲门周围血管离断术的临床治疗效果。结果 完全腹腔镜组术中平均出血量、术后并发症发生率、住院时间与病死率明显低于开腹组，差异有统计学意义(P<0.05)。结论 门脉高压症患者行完全腹腔镜脾切除联合贲门周围血管离断术，安全可靠，创伤小，出血量少，并发症少，恢复快，值得临床推广。 |
| 关键词: 门脉高压症 完全腹腔镜 脾切除 贲门周围血管离断术 |
| DOI：10.3969/j.issn.1674-3806.2017.02.23 |
| 分类号:R 616.5 |
| 基金项目: |
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| Comparison of the clinical effects between laparoscopy and open surgery on portal hypertension in pericardial devascularization and splenectomy |
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ZHU Yi-gui, LUO Yong-xiang, ZHENG Da-wu, et al.
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Department of Hepatobiliary Surgery, the First People′s Hospital of Qinzhou City, Guangxi 535000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the safety and clinical efficacy between laparoscopy and open surgery for portal hypertension in pericardial devascularization and splenectomy.Methods The clinical data were retrospectivly analyzed in 72 cases with portal hypertension in which laproscopy and open surgery were performed for portal hypertension in pericardial devascularization and splenectomy.Results The average amount of bleeding, the rate of postoperative complications, the length of hospital stay and the mortality rate in the patients with laparoscopy were significantly lower than those in the patients with open surgery(P<0.05).Conclusion Laparoscopy is safe and effective for the treatment of portal hypertension in the patients with pericardial devascularization plus splenectomy. |
| Key words: Portal hypertension Laparoscopy Splenectomy Pericardial devascularization |
