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The clinical effect of percutaneous transhepatic variceal embolization in the treatment of esophagogastric varices
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摘要: 目的观察经皮经肝胃冠状静脉栓塞术(PTVE)的临床疗效。方法经皮经肝胃冠状静脉栓塞术治疗肝硬化食管胃底静脉曲张患者58例,26例联合部分脾栓塞术(PSE);42例进行了一年随访。结果门静脉穿刺插管成功率96.55%。急诊PTVE止血15例,止血率100%。随访期8例患者再次出血。3例大出血;5例少量出血。12月随访时,食管、胃底静脉曲张减轻、消失35例(35/42)。结论PTVE创伤小,止血效果肯定,可作为肝硬化食管胃底静脉曲张出血的首选治疗方法。Abstract: Objective to observe the efficacy of percutaneous transhepatic variceal embolization (PTVE) for the treatment of esophagogastric varices.Methods 58 liver cirrhotic patients with esophagogastric varices were studied.26 patients were treated with partial splenic embolization and 42 of them were followed for a period of 12 months.Results Achievement ratio of portal vein puncture and intubation was 96.55%.15 patients who suffered from emergent bleeding were treated successfully.During follow up phase, 8 patients suffered from recurrent bleeding.During the 12 months follow up, esophagogastric varieces was alleviated or disappeared in 35 patients.Conclusion Percutaneous transhepatic variceal embolization with little trauma and definite effect could be the first choice for the treatment of esophagogastric varices.
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Key words:
- Portal hypertension /
- liver cirrhosis /
- esophagogastric varices /
- gastric coronary vein
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[1]吴云林.食管和胃静脉曲张出血的现代治疗[M].上海:上海科学技术文献出版社, 1996∶1-8. [2] 邱德凯.慢性肝病临床并发症[M].上海:上海科学技术文献出版社, 2001∶177. [3]权启镇, 谢宗贵, 齐凤.胃冠状、胃短静脉栓塞术对胃底静脉曲张出血疗效评价[J].中华消化杂志, 2005, 25∶87-89. [4]陈文忠, 钟粤明, 郭曼, 等.部分脾栓塞缓解门脉高压脾亢及胃底食管静脉曲张[J].现代消化及介入诊疗, 2006, 11∶199-201. [5]Lunderquist A, Simert G, Tylen U, et al.Follow-up of patients with portalhyper-tension and esophageal varices treated with percutane-ous obliteration of gastric coronary vein[J].Radiology, 1977, 122∶59-63. [6]胡元明, 谢宗贵, 单鸿, 等.经皮经肝食管胃底静脉曲张栓塞术的临床应用[J].中华放射学杂志, 2005, 39∶736-739. [7]郝卫东, 王永前, 孙雷, 等.经皮经肝TH胶灌注栓塞与内镜下套扎治疗食管胃底静脉曲张的对照研究[J].中国医师进修杂志, 2006, 29∶1-3. [8]张希全, 刘海军, 鹿咏红.经皮经肝穿刺门静脉行胃底食管曲张静脉栓塞术治疗上消化道出血[J].中华普通外科杂志, 2005, 20∶218-220. [9]Liaw YF, Sung JJ, Chow WC, et al.Lamivudine for patients with chronic hepatitis B and advanced liver disease[J].N Engl J Med, 2004, 351∶1521-1531. -
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