Present status of sclerotherapy and surgical treatment for esophageal varices in Japan
Present status of sclerotherapy and surgical treatment for esophageal varices in Japan
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日本食管静脉曲张硬化治疗和手术治疗现状
DOI：
10.1007/bf02067101
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发表时间：
1992
影响因子：
2.6
通讯作者：
the Japanese Research Society for Portal Hypertension Varices
中科院分区：
文献类型：
--
作者：
Y. Idezuki;the Japanese Research Society for Portal Hypertension Varices
1990年，日本门静脉高压研究会和日本食管静脉曲张硬化治疗研究会联合进行了一项关于食管静脉曲张治疗的全国性调查，以阐明日本这种治疗的现状和策略。从101家机构共收集了12，675例病例，包括4，159例非分流手术和7，612例硬化治疗。1980年代前半期，病人人数大大增加。在治疗策略方面，就手术时机而言，不建议在紧急或预防性病例中进行手术，或就肝功能不全程度而言，不建议在Child C病例中进行手术。内窥镜注射硬化疗法成为主要的治疗方法，在1988年，1，528例病例中只有16%通过外科手术治疗。医疗机构和外科机构对同一组患者的策略不同。硬化剂治疗以反复静脉内注射和静脉内、静脉旁联合注射为主，10年累积生存率Child A级为62.8%，Child B级为47.7%，Child C级为13.2%。在外科手术方面，食管横断术、胃横断术、心脏切除术和选择性分流术的10年生存率分别为50.6%、42.5%、53.1%和43.0%。我们非常相信，该报告将被证明对于确定治疗食道静脉曲张的未来策略是有用的。
A nationwide survey on the treatment for esophageal varices was performed in 1990 jointly by the Japanese Research Society for Portal Hypertension and the Japanese Research Society for Sclerotherapy of Esophageal Varices to clarify the present status and strategy of this treatment in Japan. A total of 12,675 cases, including 4,159 cases of nonshunting procedures and 7,612 cases of sclerotherapy, were collected from 101 institutions. The number of patients had greatly increased in the first half of the 1980s. With regard to the therapeutic strategy, surgical procedures were not recommended in either emergency or prophylactic cases in terms of the timing of the operation, or in Child C cases in terms of the degree of hepatic insufficiency. Endoscopic injection sclerotherapy became the leading method of treatment and in 1988 only 16% of 1,528 cases were treated by surgical procedures. The strategy for the same group of patients differed between medical and surgical institutions. With regard to sclerotherapy, repeated intravariceal injection and combined intra- and paravariceal injection were the two main techniques and 10-year cumulative survival rates were 62.8% in Child A cases, 47.7% in Child B cases, and 13.2% in Child C cases. With regard to surgical procedures, 10-year survival rates were 50.6% in esophageal transection, 42.5% in gastric transection, 53.1% in cardiectomy, and 43.0% in selective shunt procedures. We are quite convinced that this report will prove useful in determining the future strategy for treating esophageal varices.
有食管静脉曲张病史患者的肝切除术
DOI：
--
发表时间：
2006
期刊：
影响因子：
--
作者：
Nakayama;H
通讯作者：
H