内镜下序贯法联合部分脾栓塞术对食管胃底静脉曲张破裂出血的疗效  

Endoscopic Sequential Method Combined with Partial Splenic Embolization for the Treatment of Gastroesophageal Varices Hemorrhage

作　　者：石晓云[1] 刘长江[2] 魏志[2] 孙自勤[2] 

机构地区：[1]辽宁医学院,辽宁锦州121000 [2]济南军区总医院消化内科,山东济南250031

出　　处：《医学与哲学（B）》2015年第11期44-46,56,共4页Medicine & Philosophy(B)

基　　金：山东省自然科学基金;项目编号:ZR2011HM021

摘　　要：为探讨内镜下套扎(EVL)、硬化剂注射(EIS)序贯法联合部分脾栓塞术(PSE)对肝硬化食管胃底静脉曲张破裂出血的疗效。对笔者所在医院2012年1月至2014年3月收入的79例患者,A组36例采用EVL+EIS治疗,B组43例采用EVL+EIS+PSE治疗。术后随访1年,B组远期静脉曲张根治率高于A组(P<0.05)、再出血率低于A组(P<0.05),B组术后外周血白细胞及血小板数量较术前明显提高(P<0.05)、肝功能明显改善、脾脏体积明显缩小。EVL+EIS+PSE治疗肝硬化食管胃底静脉曲张破裂出血并脾功能亢进安全有效,远期静脉曲张根治率高、再出血率低,并能有效改善白细胞及血小板计数,改善肝功能。In order to observe endoscopic variceal ligation （EVL）, endoscopic injection sclerotherapy （EIS） sequential method combined with partial splenic embolization （PSE） for the treatment of gastroesophageal varices hemorrhage in cirrhosis patients, we divided 79 patients who were admitted to our hospital from January 2012 to Mareh 2014 into A and B groups, the patients of A were treatmented by EVL＋ EIS; the patients of B were treatmented by EVL＋EIS＋PSE. All of the patients were followed up for 1 year, the long term cure varicose of group B was higher than group A （P^0.05）, rebleeding rate lower than group A （P〈~0.05）, compared with preoperative the white blood ceU and platelet count of group B were improved significantly, liver function improved significantly, spleen volume redueed significantly. EVL＋ EIS＋PSE method therapy cirrhosis and gastroesophageal varices bleeding and hypersplenism safe, effective and tong-term cure rate higher, rebleeding rate lower, and can effectively improve the white blood cell and platelet count, improve liver function.

关 键 词：肝硬化 食管胃底静脉曲张 食管静脉曲张套扎术 食管静脉曲张硬化剂注射 部分脾栓塞术 

分 类 号：R575.2[医药卫生—消化系统]