PTVE联合PSE治疗肝硬化门静脉高压症、上消化道出血  

The combined modality treatment of upper gastrointestinal hemorrhage and/or portal hypertension in patients with liver cirrhosis

作　　者：孙顺吉[1] 宁厚法[1] 曹贵文[1] 王秀春[1] 柳林[2] 葛连刚[3] 

机构地区：[1]潍坊医学院附属医院介入放射科,山东潍坊262031 [2]吉林大学中日联谊医院放射科,吉林长春130033 [3]吉林医药学院附属医院介入放射科,吉林吉林132013

出　　处：《医学影像学杂志》2008年第10期1150-1152,共3页Journal of Medical Imaging

摘　　要：目的：探讨双介入治疗肝硬化门静脉高压症、上消化道出血的临床效果。方法：回顾分析1990年～2006年间行双介入治疗109例。先行PTVE治疗满意后再行PSE治疗,全部患者随访在1年以上。结果：双介入治疗的患者中96例1年内未再出血,且其中的78例3年内未再出血,脾功能亢进均有效控制。结论：双介入治疗肝硬化门静脉高压症、上消化道出血是目前最好的临床选择。Objective：To explore the better therapeutic method in treating upper gastrointestinal hemorrhage for portal hypertension in liver cirrhosis. Methods： 109 patients, wlio underwent percutaneous transhepatie variceal embolization （PTVE） plus partial splenic em- bolization （PSE） from 1990 to 2006, were retrospectively analyzed in tiffs study. All these enroiled patients were firstly subjected to PTVE and, if effective, received PSE subsequently,with a median follow- up of at least one year.Results：Of the 109 patients, 96 had no reoccurrence of hemorrhage within 1 years, in which 78 were under the efficiently control of hemorrhage as well as hypersplenism within 3 years. Conclusion： Currently, tiffs combined modality therapy is the best clinical choice for the treatment of such severe complications in patients with liver cirrhosis.

关 键 词：肝硬化门静脉高压症 上消化道出血 食道静脉曲张 脾脏功能亢进 栓塞 介入治疗 

分 类 号：R575.2[医药卫生—消化系统] R815[医药卫生—内科学]