Clinical analysis of cardiac peripheral vascular suture ligation in the treatment of cirrhotic portal hypertension

Abstract

Objective To investigate the clinical effect of cardiac peripheral vascular suture ligation on patients with portal hypertension.Methods From July 2006 to September 2010,the clinical data of 185 patients with portal hypertension were retrospectively analyzed.Sixty-eight patients were given gastroesophageal devasculariztion,117 patients were given gastroesophageal vessel suture ligation.By observation of the clinical efficacy of the two kinds of treatment and dynamic mornitor of the free portal pressure during operation,the clinical observation indexes and postoperative long-term complications and survival rate were compared.Results The FPP in the two postoperation groups all decreased,there was significant difference between suture group and devascularization group(P ＜ 0.01).FPP decline range:suture group ＞ devascularization group.There were significant differences in the clinical parameters during and after the operations(P ＜0.01).There was no operation death case in suture group or devascularization group.The rebleeding rate in devascularization group was higher than that in the suture group,the incidences of hepatic encephalopathy in the two groups were basically the same; the 3 years survival rate in the devascularization group was lower than that in the suture group.Conclusions Cardiac peripheral vascular suture can reduce the FPP,effectively reduce the rebleeding rate of the esophageal and gastric fundus varicose vein,and reduce the incidence of postoperative complications and mortality rate. Key words: Portal hypertension; Gastroesophageal devascularization; Vascular suture ligation