[摘要] 目的：探讨肝硬化门静脉高压症患者手术的适应证、最佳时间及进行手术的最有效方式。方法：对2007年1月~2010年7月我院收治的60例门静脉高压症病例进行回顾性分析。结果：择期手术46例，急诊手术14例，行联合断流术9例，行选择性贲门周围血管离断术10例，行断流术加分流术40 例，同时行脾切除术40例。1例行肝癌手术切除的同时，施行脾切除加贲门周围血管离断术治疗。死亡2例。结论：对于非手术治疗失败的门静脉高压症患者，掌握适当的手术时机，选择合理的手术方式，可有效提高患者生存率，降低死亡率。

    [关键词] 门静脉高压症 断流术 分流术

    [中图分类号] R657.34[文献标识码]B[文章编号]1673-7210(2011)02(b)-156-02

    Analysis on surgical treatment of patients with portal hypertension

    ZHOU Jiansheng, ZHANG Huiqing

    (The First People's Hospital of Yangquan City, Shanxi Province, Yangquan 045000, China)

    [Abstract] Objective: To investigate operation indication, the best time and the most effective of operation way of patients with portal hypertension. Methods: The author retrospectively analyzed 60 cases of portal hypertension in our hospital from January 2007 to July 2010. Results：46 cases were operated selective operation, 14 cases were operated emergency operation, 9 cases were operated combine with disconnection, 10 cases were operated splenectomy plus pericardial revascularization, 40 cases were operated disconnection and by-pass technique, 40 cases were operated lienectomy simultaneously. One case was operated liver cancer exairesis, splenectomy plus pericardial revascularization at the same time. Two cases were dead. Conclusion: Handle proper operation opportunity and select reasonable operation style can efficiently increase survival rate of patient and reduce mortality rate of portal hypertension patients who has non-operation treatment in the failure. ......