Application effect of pericardial devascularization plus gastric fundus trans-action in advanced schistosomiasis
10.16250/j.32.1374.2016219
- VernacularTitle:贲门周围血管离断加胃底血管横断术应用于晚期血吸虫病效果
- Author:
Xiangwen LI
;
Jianfang LUO
;
Jinwen SONG
;
Hua WANG
;
Tingjia CAO
- Keywords:
Advanced schistosomiasis;
Portal hypertension;
Pericardial devascularization;
Modified Sugiura operation;
Gastric fundus transaction;
Clinical effect
- From:
Chinese Journal of Schistosomiasis Control
2016;28(6):738-739
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the effect of pericardial devascularization plus gastric fundus transaction in advance schis?tosomiasis patients with portal hypertension. Methods Thirty?six advanced schistosomiasis patients with portal hypertension treated with devascularization plus gastric fundus transaction(a portal hypertension group),as well as 10 patients treated with modified Sugiura operation(a modified Sugiura operation group)in the Third People’s Hospital of Yangxin County since 2006 were chosen as the observation objects,and the clinical effects of the two groups were observed and compared. Results The op?eration time,indwelling time of stomach tube,time to taking food after operation,drainage tube removal time of the portal hy?pertension group were all shorten than those of the modified Sugiura operation group(all P<0.05). The hospitalization expenses of the two groups were(25 466.00 ± 2 888.48)Yuan and(34 517.10 ± 4 948.39)Yuan respectively,and the difference was al?so statistically significant(P<0.05). The incidence rates of portal thrombosis of the portal hypertension group and modified Sug?iura operation group were 33.33%(12/36)and 40.00%(4/10),respectively,and the incidence rates of rehaemorrhagia of the two groups 12 months after the operation were 16.67%(6/36)and 10.00%(1/10),respectively,but the differences had no sta?tistically significance(both P>0.05). In addition,1 case with delayed gastric emptying and 1 case with stomal leak of esopha?gus happened in the modified Sugiura operation group,while no corresponding complications happened in the portal hyperten?sion group. Conclusions Pericardial devascularization plus gastric fundus is a relatively easy procedure which has a good short?term clinical effect,and therefore it is suitable for application in primary hospitals. However,its long?term effect still needs fur?ther observation.
