【摘要】 目的 探讨联合断流术治疗门静脉高压症引起的食管下端胃底曲张静脉破裂出血的安全性和有效性。方法 对本院1997年1月至2008年10月治疗的150例门脉高压症并出血的病例进行回顾性总结分析。结果 22例患者出现术后并发症，术后并发症发生率为14.7%，5例患者出现术后发热，腹腔大出血和胃肠道功能紊乱分别出现6例和4例，胃坏死和食道损伤均为3例，门静脉血栓患者仅发现1例。结论 应用该术式后患者发生并发症少，死亡率低，远期疗效满意，是防治门静脉高压症引起的食管下端胃底曲张静脉破裂出血的理想术式。

    【关键词】联合断流术；并发症；防治

    The clinical analysis of 22 cases complication after united devascularization

    HUANG Zhi-geng,HUANG Huai-jian,et al.Municipal Hospital of Puning Huaqiao Hospital,Guangdong 515300,China

    【Abstract】 Objective To investigate the safety,rationality and eficacy of the Combined esophagogastric devascularization in the treatment of esophagogastric variceal bleeding caused by portal hypertension.Methods The treatment of 150 patients who underwent the Combined esophagogastric devascularization between January 1997 and October 2008 were retrospectively analyzed.Results 22 cases were found post-operative complication.the total incidence of post-operative complication was 14.7%(22/150).5 cases were Postoperative fever.Abdominal hemorrhage and functional disturbances ofgastrointestinal tract were respectively 6 and 4 cases.esophageal injury and gastrivc necrosis all were 3 cases.portai vein thrombosis was only 1 cases.Conclusion The Combined esophagogastric devascularization is a rational surgical procedure in thetreatment of portal hype rtension. ......