[摘要] 目的 探讨断分流联合术对门脉高压症的疗效。 方法 总结1989至2001年采用断分流联合术治疗的117例门脉高压的疗效与经验。 结果 所有患者肝功能均为child A～B级，均为择期手术，术前FPP为(2.93±0.31)kPa，无一例手术死亡。术后随访96例，再出血8例，肝性脑病16例，总病死率13.67%。 结论 断分流联合术综合了断流和分流的优点，是目前治疗肝功能A、B级门脉高压症的理想术式，但在治疗中须注意防止两种术式缺点的叠加作用。

    [关键词] 断流术;脾肾分流术;门脉高压症;外科

    [中图分类号]R657.3+4

    Combined portoazygous devascularization and splenorenal shunt for portal hypertension in117cases

    CAI Qin-ping，WANG Wei-ming，HUANG Hai-lin，WANG Qiang，XU Chao，XUXue-jun

    (Department of General Surgery，Chan-gzheng Hospital，Second Military Medical University，Shanghai200003，China)

    Abstract:Objective To evaluate the therapeutic effect of combined portoazygous devascularization and splenorenal shunt for the treatment of portal hypertension.Methods Data from117cases of portal hypertension treated with combined portoazygous devascularization and splenorenal shunt from1989to2001were analyzed.Results The hepatic functions of all the patients were Child classes A and B.There was no death in117patients undergoing selective operation.The mean portal pressures before and after operation were(2.93±0.28)kPa and(2.46±0.31)kPa ......