关键词: 晚期血吸虫病；贲门周围血管离断术；生存治疗；治疗效果

Abstract:

Objective To investigate the influence of preventive pericardial devascularization on the life quality of patients with advanced schistosomiasis. Methods The clinical data of advanced schistosomiasis patients who received the preventive peri? cardial devascularization from January 2000 to December 2009（140 cases）were collected and analyzed retrospectively，and other 81 cases without preventive pericardial devascularization served as controls. Results Compared with that of the control group， the long term upper gastrointestinal rebleeding within 3 years of the study group was much fewer（P < 0.01），while that of more than 5 years was fewer（P < 0.05）；there were no differences in ascites and hepatic coma between the two groups（P > 0.05）；the abilities of daily life and labor of the study group were much better than those of the control group（P < 0.01），and those of taking care of themselves and lost ability of labor were not significant between the two groups（P > 0.05）；the long term death rate after surgery of the study group was significantly lower than that of the control group（P < 0.05）. Conclusion The effect of preventive pericardial devascularization in the treatment of advanced schistosomiasis is reliable and the life qualities of the patients improve

Key words: Advanced schistosomiasis；Pericardial devascularization；Survival treatment；Therapeutic effect