Full-Text Search:
Home|Journal Papers|About CNKI|User Service|FAQ|Contact Us|中文
《Journal of Bethune Medical Science》 2014-04
Add to Favorite Get Latest Update

Ligation of splenic artery and gastric coronary vein trunk in treatment of emergent epatocirrhosis portal hypertention with upper gastrointestinal bleeding

QIAO Ziyong;GAO Xiaoming;YAN Junbo;Department of Hepatobiliary Surgery,Julu County Hospital;  
Objective To evaluate the efficiency and safety of ligation of splenic artery and gastric coronary vein trunk in treatment of emergent hepatocirrhosis portal hypertention with upper gastrointestinal bleeding. Methods Sixty cases of hepatocirrhosis portal hypertention with upper gastrointestinal bleeding admitted during 2005 and 2013 were divided into two groups. The observation group( n = 30) and the control group( n = 30) and their clinical data was retrospectively analyzed. The observation group underwent the procedure of pericardial devascularization and splenectomy,while the control group experienced ligation disconnection which combined splenic artery ligation with gastric coronary vein trunk ligation. Results The mortality rate of observation group was lower than that of control group( P 0. 05),but the mean operation time was shorter( P 0. 01) and the amount of blood loss was less than that of the control group( P 0. 01). There was no obvious difference among white blood cell counts,platelets and liver function,compared with those before operation( P 0. 05). Conclusion Ligation of splenic artery and gastric coronary vein trunk has been characteristic of easy operation,less invasion and exact hemostasis,which is suitable to be carried out in county hospitals without splenic artery embolization and endoscopic hemostasis.
【CateGory Index】: R573.2
Download(CAJ format) Download(PDF format)
CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.
©2006 Tsinghua Tongfang Knowledge Network Technology Co., Ltd.(Beijing)(TTKN) All rights reserved