식도 정맥류 108예에 대한 직달수술의 임상적 고찰

다국어 초록 (Multilingual Abstract)

Different types of non-shunt operations were perfomed on 108 esophageal varix cases from January 1979 to August 1987>
The procedures included 87 cases of Sugiura method (50 cases of one stage two procedures, 28 cases of two stage one procedure, and 9 ‘cases of two stage two procedures), 11 cases of transabdominal esophageal transection, 6 cases of TEPG (Terminal Esophago Proximal Gastrectomy) and 4 cases of Hassab operation.
The results were as follows.
1) Of the 108 patients 80 were male and 28 were female with ratio 2.8:1 and 82.5:1 were 30’s to 50’s.
2) Among the 108 patients prophylactic surgery was performed in 15 cases, elective 82 cases and emergency surgery were 11 cases.
3) 34 cases belonged to Child’s criteria A, B were 54 cases and C were 20 cases (18.
5%).
4) Of the total 81 intraoperative wedge biopsy of the Iiver revealed 72 cases of cirrhosis, 3cases chronic inflammation, 2 cases of fibrosis and 4 cases were normal finding.
5) Postoperative complications included pleural effusion, wound infection (12 cases), rebleeding (7 cases), esophageal leakage, esophageal stenosis (5 cases) and etc.
6) The overall mortality within one month after surgery were 15 cases, Among them, prophylactic 1 out of 15 cases， elective 8 out of 82 cases and emergency 6 out of 11 cases.
7) 60 cases of follow up esophagogram, Varices were disappeared in 25 cases, much improved in 31cases and no interval changes in 4 cases.

목차 (Table of Contents)

• Abstrat 1
• 서론 1
• 대상 및 방법 2
• 관찰결과 2
• 1)연령 및 성별분포 2
• 2)증상 및 이학적소견 2
• 3) 검사소견 2
• 4) 수술시기에 따른 수술술식의 분류 3
• 5) Child 분류에 따롤 수술술식의 분류 3
• 6) Child 분류와 수술시기에 따른 분류 3
• 7) 문맥압 측정 4
• 8) 비장의 무게 4
• 9) 간조직검사 소견 5
• 10) 수술후 식도조영술 검사소견 5
• 11) 수술후 합병증 5
• 12) 사망원인 5
• 13) Child 분류에 따른 사망율의 분포 5
• 14) 수술시기에 따른 사망율의 분포 5
• 고안 5
• REFERENCES 8