IR@PKUHSC  > 北京大学第二临床医学院  > 肝胆外科
学科主题临床医学
Clinical analysis of surgical treatment of portal hypertension
Xu, Xin-Bao1,2; Cai, Jing-Xiu3; Leng, Xi-Sheng1; Dong, Jia-Hong3; Zhu, Ji-Ye1; He, Zhen-Ping3; Wang, Fu-Shun1; Peng, Ji-Run1; Han, Ben-Li3; Du, Ru-Yu1
关键词Portal hypertension Surgical operation Shunt
刊名WORLD JOURNAL OF GASTROENTEROLOGY
2005-08-07
11期:29页:4552-4559
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
研究领域[WOS]Gastroenterology & Hepatology
英文摘要

AIM: To review the experience in surgery for 508 patients with portal hypertension and to explore the selection of reasonable operation under different conditions.

METHODS: The data of 508 patients with portal hypertension treated surgically in 1991-2001 in our centers were analyzed. Of the 508 patients, 256 were treated with portaazygous devascularization (PAD), 167 with portasystemic shunt (PSS), 62 with selective shunt (SS), 11 with combined portasystemic shunt and portaazygous devascularization (PSS+PAD), 9 with liver transplantation (LT), 3 with union operation for hepatic carcinoma and portal hypertension (HCC+PH).

RESULTS: In the 167 patients treated with PSS, free portal pressure (FPP) was significantly higher in the patients with a longer diameter of the anastomotic stoma than in those with a shorter diameter before the operation (P<0.01). After the operation, FPP in the former patients markedly decreased compared to the latter ones (P<0.01). The incidence rate of hemorrhage in patients treated with PAD, PSS, SS, PSS+PAD, and HCC+PH was 21.09% (54/256), 13.77 (23/167), 11.29 (7/62), 36.36% (4/11), and 100% (3/3), respectively. The incidence rate of hepatic encephalopathy was 3.91% (10/256), 9.58% (16/167), 4.84% (3/62), 9.09% (1/11), and 100% (3/3), respectively while the operative mortality was 5.49% (15/256), 4.22% (7/167), 4.84% (3/62), 9.09% (1/11), and 66.67% (2/3) respectively. The operative mortality of liver transplantation was 22.22% (2/9).

CONCLUSION: Five kinds of operation in surgical treatment of portal hypertension have their advantages and disadvantages. Therefore, the selection of operation should be based on the actual needs of the patients. (C) 2005 The WJG Press and Elsevier Inc. All rights reserved.

语种英语
WOS记录号WOS:000208099400018
引用统计
被引频次:8[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/65784
专题北京大学第二临床医学院_肝胆外科
作者单位1.AF Gen Hosp, Dept Hepatobiliary Surg, Beijing 100036, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Hepatobiliary Surg, Beijing 100044, Peoples R China
3.Third Mil Med Univ, Southwest Hosp, Ctr Hepatobiliary Surg, Chongqing 400038, Peoples R China
推荐引用方式
GB/T 7714
Xu, Xin-Bao,Cai, Jing-Xiu,Leng, Xi-Sheng,et al. Clinical analysis of surgical treatment of portal hypertension[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2005,11(29):4552-4559.
APA Xu, Xin-Bao.,Cai, Jing-Xiu.,Leng, Xi-Sheng.,Dong, Jia-Hong.,Zhu, Ji-Ye.,...&Du, Ru-Yu.(2005).Clinical analysis of surgical treatment of portal hypertension.WORLD JOURNAL OF GASTROENTEROLOGY,11(29),4552-4559.
MLA Xu, Xin-Bao,et al."Clinical analysis of surgical treatment of portal hypertension".WORLD JOURNAL OF GASTROENTEROLOGY 11.29(2005):4552-4559.
条目包含的文件
条目无相关文件。
个性服务
推荐该条目
保存到收藏夹
查看访问统计
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Xu, Xin-Bao]的文章
[Cai, Jing-Xiu]的文章
[Leng, Xi-Sheng]的文章
百度学术
百度学术中相似的文章
[Xu, Xin-Bao]的文章
[Cai, Jing-Xiu]的文章
[Leng, Xi-Sheng]的文章
必应学术
必应学术中相似的文章
[Xu, Xin-Bao]的文章
[Cai, Jing-Xiu]的文章
[Leng, Xi-Sheng]的文章
相关权益政策
暂无数据
收藏/分享
所有评论 (0)
暂无评论
 

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。