内镜下胃底静脉曲张粘合剂治疗前胃-肾静脉分流道介入栓塞的运用  

Spontaneous gastro-renal vein shunt embolism before endoscopic adhesive treatment of stomach varicose veins

作　　者：罗贤明[1] 刘晟[1] 

机构地区：[1]中南大学湘雅三医院,湖南长沙410013

出　　处：《中国内镜杂志》2012年第11期1160-1163,共4页China Journal of Endoscopy

摘　　要：目的预防内镜下胃曲张静脉粘合剂治疗时发生胃-肾分流道异位栓塞、预防和治疗肝性脑病。方法 17例肝硬化门脉高压症伴血氨升高、自发性胃肾静脉分流道形成患者,内镜下粘合剂治疗前行胃-肾静脉分流道介入栓塞术,观察是否发生经胃肾静脉分流道异位栓塞及血氨变化。结果全部患者内镜治疗后均未发生粘合剂固化物经分流道进入体循环,术后患者血氨水平不同程度下降。结论介入栓塞自发性胃肾静脉分流道是一种预防内镜下粘合剂治疗时发生异位栓塞较好方法,同时也能阻断部分门体侧支,对降低血氨,治疗肝性脑病有效。【Objective】To prevent ectopic embolism via gastro-renal vein shunt (GRS) after endoscopic adhe-sive treatment of stomach varicose veins and to treat hepatic encephalopathy. 【Methods】17 patients suffering liver cirrhosis portal hypertension with elevated blood ammonia and spontaneity stomach-renal vein shunt, were treated with shunt embolism under X-ray guiding intervention before endoscopic adhesive treatment.【Results】Ectopic em-bolism via shunt did not happen after endoscopic treatment and all patients blood ammonia levels were decreased to different extent. 【Conclusion】Spontaneous gastro-renal vein shunt interventional embolism can effectively prevent ectopic embolism and also block portal-body vein collateral, which is effective way to reduce blood ammonia and treat hepatic encephalopathy.

关 键 词：胃底静脉曲张 胃肾静脉分流 介入治疗 栓塞 

分 类 号：Q67[生物学—生物物理学]