关键词: 肝硬化, 门静脉高压症, 联合断流术, 选择性断流术, 上消化道出血

Abstract: 【Abstract】 Objectives To evaluate the therapeutic effects of combined devascularization procedure. Methods Forty-six patients with portal hypertension and upper gastrointestinal bleeding were included in this study and the clinical data were analyzed respectively. Of 46 cases, 28 underwent the surgical procedure of selective devascularization.(selective group)..and 18 received selective devascularization combined with modified Sugiura procedure (combined group). Results There were no significant difference between the two groups in intraoperative blood loss,operation time,hospitalization days, free portal pressure (FPP) changes, and postoperative rebleeding (P>0.05). Postoperative esophageal varices disappearance rate for combined group was 94.4% (17/18) and selective group was 64.3% (18/28), with statistical difference (P<0.05). Conclusion In the present study, postoperative esophageal varices disappearance rate in patients with combined devascularization was higher. Although the rate of postoperative rebleeding was almost the same with selective devascularization,combined devascularization may be a better choice for the patients with good general condition.

Key words: Liver cirrhosis, Portal hypertension, Combined devascularization, Selective devas-ularization, Upper gastrointestinal bleeding