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肝硬化门静脉高压并发上消化道出血的3种手术方式比较分析

温建生 岳琨 吴智群 路红娟

温建生, 岳琨, 吴智群, 路红娟. 肝硬化门静脉高压并发上消化道出血的3种手术方式比较分析[J]. 临床肝胆病杂志, 2016, 32(2): 264-268. DOI: 10.3969/j.issn.1001-5256.2016.02.013
引用本文: 温建生, 岳琨, 吴智群, 路红娟. 肝硬化门静脉高压并发上消化道出血的3种手术方式比较分析[J]. 临床肝胆病杂志, 2016, 32(2): 264-268. DOI: 10.3969/j.issn.1001-5256.2016.02.013
Wen JianSheng, Yue Kun, Wu ZhiQun, Lu HongJuan. Comparative clinical analysis of three surgical methods in patients with cirrhotic portal hypertension complicated by upper gastrointestinal bleeding[J]. J Clin Hepatol, 2016, 32(2): 264-268. DOI: 10.3969/j.issn.1001-5256.2016.02.013
Citation: Wen JianSheng, Yue Kun, Wu ZhiQun, Lu HongJuan. Comparative clinical analysis of three surgical methods in patients with cirrhotic portal hypertension complicated by upper gastrointestinal bleeding[J]. J Clin Hepatol, 2016, 32(2): 264-268. DOI: 10.3969/j.issn.1001-5256.2016.02.013

肝硬化门静脉高压并发上消化道出血的3种手术方式比较分析

DOI: 10.3969/j.issn.1001-5256.2016.02.013
详细信息
  • 中图分类号: R575.2;R573.2

Comparative clinical analysis of three surgical methods in patients with cirrhotic portal hypertension complicated by upper gastrointestinal bleeding

  • 摘要:

    目的比较经颈静脉肝内门体分流术(TIPS)、经皮经肝食管胃底静脉曲张栓塞术(PTVE)及TIPS联合胃冠状静脉栓塞术(GCVE)在肝硬化晚期门静脉高压患者并发上消化道出血治疗中的效果及优劣性。方法回顾性分析2012年1月-2014年10月于铜川矿务局中心医院行手术治疗的肝硬化晚期门静脉高压并发上消化道出血患者167例,根据手术方法不同分为TIPS组(n=56)、PTVE组(n=53)及TIPS联合GCVE组(n=58)。比较3组患者治疗的手术时间、术后恢复时间、住院费用,术后消化道曲张改善程度、再出血发生率、肝性脑病发生率、腹水消除率,门静脉相关指标(门静脉内径、门静脉流速、门静脉压力)及肝功能指标(ALT、AST、TBil、白蛋白)的不同。计量资料多组间比较采用方差分析,进一步两两比较采用SNK-q检验;计数资料组间比较采用χ2检验。结果 3组的手术时间、住院费用、术后再出血发生率及术后肝性脑病发生率比较,差异均有统计学意义(F值分别为13.85、12.53,P值均<0.05;χ2值分别为7.132、6.368,P值均<0.05)。其中,TIPS组与PTVE组的住院费用比...

     

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出版历程
  • 收稿日期:  2015-07-14
  • 出版日期:  2016-02-20
  • 刊出日期:  2016-02-20
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