目的：探讨在肝硬化门脉高压症患者中，应用选择性贲门周围血管离断术治疗方案的临床疗效。方法整群选取该院2012年7月—2014年6月收治的肝硬化门脉高压症患者56例进行分析，将其随机分为对照组和观察组，每组28例。对照组行传统贲门周围血管离断术，观察组行选择性贲门周围血管离断术。观察两组患者的临床治疗效果，以及并发症发生情况。结果观察组患者治疗后的食管胃底静脉曲张程度、腹水程度明显优于对照组，FPP减少量、PVF减少量高于对照组，并发症发生率（17.9%）低于对照组（42.9%），P＜0.05，差异有统计学意义。结论肝硬化门脉高压症患者应用选择性贲门周围血管离断术具有良好的效果，能够减轻静脉曲张和腹水程度，改善门静脉压力和血流指标，减少并发症的发生，值得临床推广。%Objective To study the clinical curative effect of slective pricardial dvascularization in the treatment of patients with cirrhotic portal hypertension. Methods 56 patients with cirrhotic portal hypertension admitted to our hospital between July 2012 and June 2014 were selected and randomly divided into control group and observation group with 28 in each group. Patients in the control group were treated with traditional pericardial devascularization, while those in the observation group received slective pricardial dvascularization. The clinical therapeutic effects of two groups were compared. Results The degree of esophageal varices and prevalence of ascites of the observation group after treatment was significantly better than that of the control group; FPP reduction, PVF reduction of the observation group was higher than that of the control group; the incidence of complications (17.9%) of the observation group was lower than that of the control group (42.9%), P< 0.05, and there were statistically significant differences. Conclusion Slective pricardial dvascularization in the treatment of patients with cirrhotic portal hypertension has good effect and it can reduce the degree of varices and ascites, improve portal vein pressure and blood flow index, reduce the occurrence of complications, so it is worthy of clinical application.
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