关键词: 晚期血吸虫病； 门静脉高压症； 术后再出血； 疗效

Abstract: Objective To evaluate the efficacy of the operation in the treatment of postoperative re?hemorrhage after splenec? tomy with periesophagogastric devascularization for advanced schistosomiasis. Methods Forty?three re?hemorrhage patients，who received varicose ligation combined with pericardial devascularization through left thoracic cavity with esophageal incision from Oc? tober 2002 to October 2011，after splenectomy with periesophagogastric devascularization due to portal vein hypertension，were in? vestigated retrospectively and followed up for 1 to 9 years. Results Forty?three re?hemorrhage patients operated included 27 cas? es of selective operation and 16 cases of emergency operation. The mean follow?up time was 6.8 years. The hemostasis rate was 100%. 0ne died after the operation because of engaging in heavy labor，two had melena and were completely relived with the con? servative treatment，and all the rest had a good recovery. Conclusion The operation of varicose ligation combined with pericardi? al devascularization through left thoracic cavity with esophageal incision in the treatment of postoperative re?hemorrhage after sple? nectomy with periesophagogastric devascularization for advanced schistosomiasis has a satisfied efficacy.

Key words: Advanced schistosomiasis； Portal vein hypertension； Postoperative re?hemorrhage；Efficacy