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  

Emergent percutaneous transhepatic embolization of gastroesophageal varices for the treatment of acute upper gastrointestinal bleeding

作　　者：张希全[1] 刘海军[2] 鹿咏红[1] 董戈[1] 郭锋[1] 李丽[1] 刘新枝[3] 

机构地区：[1]解放军第一四八中心医院介入治疗中心,淄博255300 [2]解放军第一四八中心医院消化科,淄博255300 [3]解放军第一四八中心医院传染科,淄博255300

出　　处：《中华普通外科杂志》2005年第4期218-220,共3页Chinese Journal of General Surgery

摘　　要：目的　评价经皮经肝穿刺门静脉行胃底食管曲张静脉栓塞治疗肝硬化门静脉高压症上消化道大出血的疗效。方法　对37例肝硬化门静脉高压症急性上消化道大出血患者行经皮经肝穿刺门静脉栓塞胃冠状静脉,至造影复查曲张静脉完全消失为止。结果　37例患者在栓塞术后出血均迅速停止,无1例技术方面的并发症出现。随访37例1～38个月,栓塞3个月后再出血2例,1例术后3周死于心脏功能衰竭,5例6个月后死于肝癌。Objective To evaluate the effect of percutaneous transhepatic embolization of gastroesophageal varices on acute upper gastrointestinal bleeding in cirrhotic portal hypertensive patients. Methods Percutaneous transhepatic embolization was performed in 37 cases of acute upper gastrointestinal bleeding until varix thrombosed. Results Bleeding stopped in all patients. No technical complications occurred. During 1～38 months follow-up, variceal bleeding recurred in two cases in 3 months. One died of heart failure, five died of hepatic carcinoma in 6 months . Conclusion Percutaneous transhepatic embolization of gastroesophageal varices is a safe and effective treatment for acute upper gastrointestinal bleeding in portal hypertensive patients.

关 键 词：经皮经肝穿刺 食管曲张静脉 栓塞术治疗 上消化道出血 肝硬化门静脉高压症 胃底 急性上消化道大出血 静脉栓塞治疗 胃冠状静脉 门静脉栓塞 大出血患者 完全消失 术后出血 功能衰竭 并发症 再出血 

分 类 号：R575.2[医药卫生—消化系统]