肝胆胰外科杂志2011，Vol.23Issue(3)：202-204,207,4.
胆道多次手术合并肝硬化门静脉高压症的评估及处理
Assessment and management of biliary tract re-operation accompanied with hepatocirrhosis and portal hypertension
柏立山 1柴新群 1胡志坚 1冯贤松1
作者信息
- 1. 华中科技大学同济医学院附属协和医院,肝胆外科,湖北,武汉,430022
- 折叠
摘要
Abstract
Objective To probe the assessment and management of biliary tract re-operation accompanied with hepatocirrhosis and portal hypertension. Methods The clinical data of 18 patients of bile duct re operation accompanied with hepatocirrhosis and portal hypertension from January 2005 to December 2008 were retro spectively analyzed. Results Of the 18 patients. 4 were grouped to Child A according to Child-Pugh classificalion. 10 were child B, another 4 were Child C. As to the causes of hepatoeirrhosis: 14 patients (77.8％)resulted from biliary cirrhosis. 2 posthepatitic cirrhosis. 2 schistosomiasis cirrhosis. Sixteen patients received simply hiliary tract re-operation. 2 received biliary tract re-operation with devascularization; the bleeding amount during operation was up to 800～1 600 mL. Three of whom had post operative complications: 1 with biliary fistula, I with intestinal fistula and 1 with upper gastrointestinal bleeding. The other patient died of multi-organ dysfunction in preoperative period. Conclusion To the patients of biliary tract re-operation accompanied with hepatocirrhosis and portal hypertension, surgical operation will get good results if the assessment of relevant pre-operative issues are enhanced and the appropriate treatments are executed. Child-Pugh classification is not appropriate to assess the patients of biliary tract re-operation accompanied with hepatocirrhosis and portal hypertension.关键词
胆道多次手术/肝硬化/高压,门静脉/评估/处理Key words
biliary tract re-operation/ hepatocirrhosis/ hypertension portal/ assessment/ management分类
医药卫生引用本文复制引用
柏立山,柴新群,胡志坚,冯贤松..胆道多次手术合并肝硬化门静脉高压症的评估及处理[J].肝胆胰外科杂志,2011,23(3):202-204,207,4.
