晚期血吸虫病门脉高压症术后门静脉血栓形成的危险因素分析

发布时间：2018-03-17 02:34

本文选题：晚期血吸虫病　切入点：门脉高压症　出处：《中国血吸虫病防治杂志》2015年02期 　论文类型：期刊论文

【摘要】：目的探讨晚期血吸虫病门脉高压症脾切除贲门周围血管离断术后门静脉血栓(PVT)形成的危险因素。方法收集2004年8月至2014年3月期间本院外科收治的211例晚期血吸虫病门静脉高压症患者的临床资料,对可能影响术后PVT形成的因素进行单因素分析和Logistic回归分析。结果 211例患者中,59例术后PVT形成,发生率为27.96%(59/211)。单因素分析显示术前上消化道出血史、门静脉直径、脾静脉直径、食管静脉曲张程度、腹水、门脉高压性胃病、胃底静脉曲张、血氨水平是患者术后PVT形成的影响因素。Logistic回归分析显示门静脉直径增宽(OR=1.763,P=0.000)和门脉高压性胃病(OR=1.089,P=0.037)是患者术后PVT形成的独立危险因素。结论晚期血吸虫病门脉高压症术后PVT形成的发生率较高,门静脉直径增宽和门脉高压性胃病是PVT形成的独立危险因素。
[Abstract]:Objective to investigate the risk factors of portal vein hypertension (PVT) after splenectomy and pericardial devascularization in patients with advanced schistosomiasis. Methods from August 2004 to March 2014, 211 cases of late blood aspiration were collected in our hospital. Clinical data of patients with portal hypertension. Univariate analysis and Logistic regression analysis were performed to analyze the possible factors affecting the formation of PVT after operation. Results 59 of the 211 patients had postoperative PVT formation, the incidence was 27.96% 59 / 211. The single factor analysis showed the history of upper gastrointestinal bleeding, the diameter of portal vein, and the diameter of splenic vein before operation. Degree of esophageal varices, ascites, portal hypertensive gastropathy, varicose gastric fundus, Logistic regression analysis showed that the portal vein diameter widened ORA 1.763P 0.000) and portal hypertension gastropathy OR1.089 Pu 0.037) were independent risk factors of postoperative PVT formation in patients with advanced schistosomiasis portal hypertension. The incidence of PVT was higher after operation. Portal vein diameter widening and portal hypertensive gastropathy are independent risk factors for the formation of PVT.
【作者单位】：湖南省华容县人民医院普外科;
【分类号】：R532.21

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