门静脉癌栓与食管胃底静脉曲张程度及出血的关系  

Relationship between gastroesophageal varices and bleeding and portal venous tumor thrombus in patients with hepatocel-lular carcinoma

作　　者：李振方[1] 赵琦[1] 徐昌青[2] 李森林[1] 谢佳平[1] 李红 

机构地区：[1]聊城市人民医院消化内科,山东聊城252000 [2]山东省千佛山医院消化内科,山东济南251000 [3]肥城矿业集团中心医院消化内科,山东肥城271608

出　　处：《临床肝胆病杂志》2005年第4期216-217,共2页Journal of Clinical Hepatology

摘　　要：观察不同类型门静脉癌栓(PCT)患者的食管胃底静脉曲张程度、破裂出血发生率及最终死亡原因。76 例原发性肝癌并门脉癌栓患者,按门脉癌栓的分布及部位被分为两型。所有患者长期随访至死亡,随访期间多次行胃镜及超声检查两组患者食管胃底静脉曲张的程度比较差异无显著意义;Ⅰ型PCT患者破裂出血的发生明显高于Ⅱ型PCT患者,主要死亡原因为上消化道出血;Ⅱ型PCT患者主要死亡原因为肝功能等多脏器衰竭。门脉癌栓生长迅速,短时间内对静脉曲张的程度影响不大,但明显影响患者静脉曲张破裂出血发生率及死亡原因。门脉癌栓分型为患者治疗方案的选择提供了理论依据。To observe the degree of gastroesophageal varices and bleeding ratio and death reason in the patients with PCT.76 cases of patients with PCT were divided into two groups （ type Ⅰ and type Ⅱ ） according to the location and distribution of the portal tumor thrombus. Such indications as the degree of gastroesophageal variees and bleeding ratio and death reason were studied. The difference of degree of gastroesophageal varices among two groups was not significant;bleeding ratio in the patients with type Ⅰ was owing to bleeding while the major death reason in the patients with type Ⅱ was due to multiple organ function failure. PCT grows rapidly and has no effect on the degree of gastroesophageal varices in short time. but influences the bleeding ratio and death reason the patients PCT. The type of PCT provides theoretical basis for treatment.

关 键 词：癌 肝细胞 食管和胃底静脉曲张 并发症 

分 类 号：R735.7[医药卫生—肿瘤]