| PTVE联合PSE治疗胃底曲张静脉出血的疗效观察 |
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| 引用本文： | 陈国平,楼文胜,张予蜀,何旭,陈亮,苏浩波,宋进华,汪涛,顾建平. PTVE联合PSE治疗胃底曲张静脉出血的疗效观察[J]. 临床放射学杂志, 2010, 29(2) |
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| 作者姓名： | 陈国平 楼文胜 张予蜀 何旭 陈亮 苏浩波 宋进华 汪涛 顾建平 |
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| 作者单位： | 1. 南京医科大学附属南京第一医院介入科,210006
2. 南京医科大学附属南京第一医院消化科,210006 |
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| 摘 要： | 目的探讨经皮胃底曲张静脉栓塞术(PTVE)联合部分脾动脉栓塞术(PSE)治疗胃底曲张静脉出血的疗效。资料与方法27例肝硬化合并食管胃底曲张静脉破裂出血患者(18例急性出血,9例择期手术),21例患者同时实施PTVE+PSE,6例患者PTVE后5～7天再行PSE。对术前、术后门静脉压力变化进行测量;术后1～24个月观察再出血的发生率及胃镜随访胃底曲张静脉消退情况。结果18例急诊手术患者术后出血即刻停止,即时止血率100%。PTVE栓塞后门静脉压升高,同术前比较差异有统计学意义(P<0.05);PTVE+PSE后门静脉压有所降低,但同术前比较差异无统计学意义(P>0.05)。23例术后胃镜随访,显示胃底曲张静脉完全消失9例,部分消失14例,4例门静脉高压性胃病表现。随访期间1～12个月内再出血率为11.11%(3/27),12～24个月因肝功能衰竭死亡2例,再出血率为28.0%(7/25)。6例为曲张静脉出血,其中1例再次行PTVE栓塞曲张静脉后止血,4例为门静脉高压性胃病出血。结论PTVE具有满意的止血效果和消除胃底曲张静脉,联合PSE能抵消PTVE所致的门静脉压升高。PTVE联合PSE既可行急诊止血,亦可作为...
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| 关 键 词： | 静脉曲张 胃冠状静脉 胃短静脉 栓塞术 放射学 介入性 |
Percutaneous Transhepatic Variceal Embolization Combined with Partial Splenic Embolization for the Treatment of Hemorrhage from Gastric Varices |
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| CHEN Guoping,LOU Wensheng,ZHANG Yushu,et al.. Percutaneous Transhepatic Variceal Embolization Combined with Partial Splenic Embolization for the Treatment of Hemorrhage from Gastric Varices[J]. Journal of Clinical Radiology, 2010, 29(2) |
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| Authors: | CHEN Guoping LOU Wensheng ZHANG Yushu et al. |
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| Affiliation: | CHEN Guoping,LOU Wensheng,ZHANG Yushu,et al.Department of Interventional Radiology,Nanjing First Hospital Affiliated to Nanjing Medical University,Nanjing,Jiangsu Province 210006,P.R.China |
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| Abstract: | Objective To evaluate the efficacy of percutaneous transhepatic variceal embolization (PTVE)combined with partial splenic embolization (PSE)in treatment of gastric variceal bleeding. Materials and Methods Twenty-seven cirrhotic patients suffering from esophagogastric variceal hemorrhage (18 patients in acute hemorrhage,9 patients in a selective time surgery).Twenty-one patients were treated with PTVE and PSE in the same time. Six patients were treated with PSE after PTVE five to seven days. The portal vein ... |
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| Keywords: | Varices Coronary gastric vein Short gastric vein Embolization Radiology interventional |
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