食道胃底静脉栓塞及脾切除治疗门脉高压症的疗效观察  

Observation of effects on portal hypertension treated with gastric-esophageal vein embolization and splenectomy

作　　者：马中[1] 杨振东[1] 宁莫凡[1] 黄育勉[1] 杨鸿彬 晋援朝[1] 葛进[1] 王岭[1] 边杰芳[1] 彭涌[1] 

机构地区：[1]第四军医大学西京医院血管外科

出　　处：《第四军医大学学报》1996年第2期127-128,共2页Journal of the Fourth Military Medical University

摘　　要：报道了自１９８６年１１月～１９９５年１月间采用食道胃底静脉栓塞及脾切除术治疗门脉高压症１０６例的临床疗效；术后８．５年累积死亡８例，３，５及７年生存率分别为９３．５％，８８．０％和８８％；术后再出血１３例，术后１，３及５年再出血率分别为１．９％，７．８％和１８．０％；食道静脉曲张减轻、消失率达８４．２％，结果表明食道胃底静脉栓塞及脾切除术的疗效是比较满意的．作者对食道胃底静脉栓塞和脾切除术的术式改进及如何防止异位栓塞并发症的发生进行了分析与讨论．Effects on 106 cases with portal hypertension,who received gastric-esophageal vein embolization and splenectomy from November 1986 to January 1995,were observed in this paper.Eight cases have died up to now.The postoperative survival rate for 3,5 and 7 years were 93.5%,88%and 88/respectively.The postoperative rehemorhage cases added up to 13.The postoperative rehemorhage rates for1,3 and 5 years were 1.9%,7.8%and 18.0%respectively. The rate of less or disappearing of esophageal varices rose to 84.2%.The results showed the effect of this operation was satisfactory.The analysis and discussion were made by the authors in this paper on the improvement of the operation procedure and prevention of complica-tion,following ectopia embolization.

关 键 词：门静脉高压 栓塞术 脾切除 食道胃管静脉 

分 类 号：R657.34[医药卫生—外科学]