【摘 要】
：
根据５５例小儿门静脉高压门奇静脉断流术的疗效观察，探讨影响疗效的因素与手术方法。５５例分别采用食管静脉结扎术、脾切除加大网膜固定术、Ｈａｓｓａｂ手术、改良Ｓｕｇｉｕｒａ手术与Ａｏｋｉ手术，无手术死亡率。经过
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根据５５例小儿门静脉高压门奇静脉断流术的疗效观察，探讨影响疗效的因素与手术方法。５５例分别采用食管静脉结扎术、脾切除加大网膜固定术、Ｈａｓｓａｂ手术、改良Ｓｕｇｉｕｒａ手术与Ａｏｋｉ手术，无手术死亡率。经过６月～５年随访，生存５０例（９１％），死亡５例（９％），术后食管再出血率７．３％，无术后肝性脑病。结果提示肝功能Ｃｈｉｌｄ分级，手术时机的选择，引起门静脉高压的病理以及手术方式是影响疗效的因素；对断流血管的妥善处理是手术成功的关键
According to 55 cases of pediatric portal hypertension in the treatment of azygous anastomosis, to explore the factors that affect the efficacy and surgical methods. 55 cases were treated with esophageal vein ligation, splenectomy plus omentum surgery, Hassab surgery, modified Sugiura surgery and Aoki surgery, no operative mortality. After 6 months to 5 years of follow-up, 50 patients (91%) survived, 5 patients died (9%), postoperative esophageal rebleeding rate of 7.3%, no postoperative hepatic encephalopathy. The results suggest Child classification of liver function, the choice of timing of surgery, the pathology of portal hypertension and the surgical method are the factors affecting the curative effect. The proper treatment of broken blood vessel is the key to successful operation
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