经皮经肝胃冠状静脉栓塞术的临床疗效观察  

The clinical effect of percutaneous transhepatic variceal embolization in the treatment of esophagogastric varices

作　　者：苏国权[1] 马立伟[1] 邵石祥[1] 杜瑞清[1] 张新元[1] 

机构地区：[1]石家庄市第五医院肝病科,石家庄050021

出　　处：《临床肝胆病杂志》2009年第6期440-442,共3页Journal of Clinical Hepatology

摘　　要：目的观察经皮经肝胃冠状静脉栓塞术(PTVE)的临床疗效。方法经皮经肝胃冠状静脉栓塞术治疗肝硬化食管胃底静脉曲张患者58例,26例联合部分脾栓塞术(PSE);42例进行了一年随访。结果门静脉穿刺插管成功率96.55%。急诊PTVE止血15例,止血率100%。随访期8例患者再次出血。3例大出血;5例少量出血。12月随访时,食管、胃底静脉曲张减轻、消失35例(35/42)。结论PTVE创伤小,止血效果肯定,可作为肝硬化食管胃底静脉曲张出血的首选治疗方法。Objective to observe the efficacy of percutaneous transhepatic variceal embolization （PTVE） for the treatment of esophagogastric varices.Methods 58 liver cirrhotic patients with esophagogastric varices were studied.26 patients were treated with partial splenic embolization and 42 of them were followed for a period of 12 months.Results Achievement ratio of portal vein puncture and intubation was 96.55%.15 patients who suffered from emergent bleeding were treated successfully.During follow up phase,8 patients suffered from recurrent bleeding.During the 12 months follow up,esophagogastric varieces was alleviated or disappeared in 35 patients.Conclusion Percutaneous transhepatic variceal embolization with little trauma and definite effect could be the first choice for the treatment of esophagogastric varices.

关 键 词：肝硬化门静脉高压 食管胃底静脉曲张 胃冠状静脉 栓塞 

分 类 号：R575.2[医药卫生—消化系统]