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自1976年以来,苏州地区医院及昆山、常熟、吴县、吴江、江阴等县医院,采用五种类型的门腔分流术治疗165例晚期血吸虫病门脉高压症患者,对128例作了1～4年随访观察。进行疗效分析:一、肠系膜上静脉与下腔静脉移植颈内静脉“H”形架桥分流术63例,获得随访者54例(随访率85.7%),17例(31%)术后7月～3年内发生再出血,出血1～4次不等。远期死亡8例,因再出血死亡4例(7.4%),肝功能衰竭死亡2例,另2例死因不详。术后能参加一般劳动的有30例(55%)。对4例术后出血者作再次手术,探查见原移植血管均呈纤维化条索状,管腔完全闭塞。疗效不够满意。
Since 1976, five hospitals of the district hospitals in Suzhou, Kunshan, Changshu, Wuxian, Wujiang and Jiangyin have been used to treat portal hypertension in 165 patients with advanced schistosomiasis, 4 years follow-up observation. Efficacy analysis: First, 63 cases of “H” -shaped shunts were transplanted into the superior mesenteric vein and inferior vena cava. 54 patients were followed-up (85.7%), 17 (31% ~ 3 years of rebleeding, bleeding 1 to 4 times. In the long term, 8 died, 4 died of rebleeding (7.4%), 2 died of liver failure, and the other 2 died unknown. Thirty patients (55%) were able to participate in general work after surgery. For 4 cases of postoperative bleeding for reoperation, explore the original graft showed fibrovascular cords were completely obliterated. Curative effect is not satisfactory.