TH胶栓塞胃冠状静脉曲张在门静脉高压治疗中的应用  

Treatment of gastric coronary vein varices in portal hypertention with TH glue embolization

作　　者：冯凯[1] 刘艳[2] 张春青[1] 许洪伟[1] 主玉华[1] 

机构地区：[1]山东省立医院消化科,山东济南250021 [2]山东省医学影像学研究所,山东济南250021

出　　处：《医学影像学杂志》2005年第11期954-956,共3页Journal of Medical Imaging

摘　　要：目的:探讨α氰基丙烯酸正辛酯(TH胶)在胃冠状静脉栓塞术联合部分脾脏栓塞术治疗门脉高压胃底食管曲张静脉破裂出血的可行性和疗效.方法:对27例门脉高压胃底食管曲张静脉破裂出血的病人应用TH胶为栓塞剂经皮肝穿行胃冠状静脉栓塞术联合部分脾脏栓塞术.结果:所有患者均手术成功,止血率达100%.1月后,胃镜及钡餐检查,食道静脉曲张消失率为70.4%.随访6～12个月1例因胃粘膜病变出血,余者病情好转或稳定.结论:应用TH胶胃冠状静脉栓塞联合部分脾栓塞手术安全,创伤小,止血率高,再出血率低,是治疗门脉高压并食道胃底静脉曲张理想方法.Objective：To investigate the feasibility and efficacy of percutaneous transhepatic embolization of gastroesophageal varices combined with partial splenic emboliaztion in gastroesophageal varices bleeding. Methods： 27 patients with TH glue was injected to obliterate the main stem of the feeder vein of varices and it＇ s gastrio-fundeal branches by fixed TH glue embolization and underwent the TH glue embolization and partial splenic enbolization. Results, The successful rate of 100%. After 1 month, reexamine by GI or gastroscopy, 70.4% variceal vein disappear. In the follow-up period of 6- 12 months 1 case bleeding by hemorrhagic mucosal gastropathy. Conclusion： The treatment is reasonable, comvenient with few conplication, and safe with less injury. The effects are satisfactory for the comtrol of gastro-esophageal variceal bleeding.

关 键 词：门静脉高压 介入术治疗 α氰基丙烯酸正辛酯 胃冠状静脉 

分 类 号：R657.34[医药卫生—外科学] R815[医药卫生—临床医学]