应用TH胶行胃冠状静脉栓塞治疗门脉高压症的临床疗效分析  

Clinical analysis of gastric coronary vein embolization with medical TH tissue adhesive for the treatment of portal hypertention

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

机构地区：[1]第四军医大学:西京医院血管外科,陕西西安710033

出　　处：《第四军医大学学报》2001年第14期1342-1344,共3页Journal of the Fourth Military Medical University

摘　　要：目的　探讨应用 TH胶 (含显影剂的α-氰基丙烯酸正辛酯 )行胃冠状静脉栓塞加脾切除 ,治疗门脉高压症、食管胃底静脉曲张的手术技巧 ,评价其远期疗效 .方法　对我院1986～ 2 0 0 0行该术式治疗的 136例门脉高压症患者作回顾性分析 .结果　栓塞术后 ,食管胃底静脉曲张减轻 ,术后 1a再出血率 1.0 % (1/97) ,3,5 ,7a再出血率分别为 6 .2 % (6 /97) ,16 .0 % (16 /97)和 2 1.1% (2 1/97) ,与传统断流术相比有显著下降 (P<0 .0 1) .结论　应用 TH胶胃冠状静脉栓塞治疗门脉高压症 ,手术较安全 ,创伤小 ,止血彻底 ,再出血率低 ,临床疗效满意 .AIM To discuss the operation techniques and long term effects of gastric coronary veins embolization with medical TH tissue adhesive and splenectomy for the treatment of portal hypertention and gastric esophageal varices. METHODS Retro analysis of 136 cases underwent embolization and splenctomy between 1986 and 2000. RESULTS Condition of gastric esophageal vein varices was improved after the operations. Postoperative rehemorhage rates for 1, 3, 5 and 7 years were 1.0%(1/97), 6.2% (6/97), 16.0%(16/97) and 21.1%(21/97), respectively. The rates were decreased significantly compared with those of conventional surgical methods. CONCLUSION Operation of gastric esophageal embolization with medical TH tissue adhesive for the treatment of portal hypertention is safe with less injury and the effects are satisfactory.

关 键 词：门脉高压症 栓塞 上消化道出血 疗效 

分 类 号：R657.340.5[医药卫生—外科学]