[摘要] 目的 探究贲门周围血管缝扎手术对肝硬化门静脉高压患者自由门静脉压(free portal pressure，FPP)及再出血率的影响。 方法 选取2008年10月～2011年10月我院收治的60例肝硬化门静脉高压患者，根据患者手术方式的不同分为观察组与对照组，每组30例。观察组患者采取贲门周围血管缝扎术，对照组则采用贲门周围血管断流术，比较两组不同手术方式的治疗效果。 结果 观察组患者术中出血量、手术时间等临床指标显著小于/短于对照组，差异有统计学意义(P<0.05)；观察组患者术后再出血、肝性脑病等显著低于对照组，差异有统计学意义(P<0.05)；观察组患者术后FPP显著低于对照组，差异有统计学意义(P<0.05)。 结论 贲门周围血管缝扎手术能有效降低肝硬化门静脉高压患者的FPP值，减少患者再出血状况，并降低术后死亡率和并发症发生率。

    [关键词] 贲门周围血管缝扎手术；肝硬化；门静脉高压；FPP；再出血率

    [中图分类号] R657.3 [文献标识码] B [文章编号] 1673-9701(2015)11-0092-03

    [Abstract] Objective To explore the effects of periesophagogastric vascular ligation on free portal pressure (FPP) and incidence of rebleeding for patients with cirrhotic portal hypertension. Methods A total of 60 patients with cirrhotic portal hypertension who were admitted to our hospital from October 2008 to October 2011 were selected and were allocated to observation group and control group according to their surgical methods ......