摘要
目的探讨经皮肝穿刺胃冠状静脉栓塞术(PTVE)后预防肝穿刺道出血的方法。方法回顾分析112例肝硬化门脉高压症食管胃底静脉曲张破裂出血的患者行PTVE术后分别采用穿刺道填塞明胶海绵条和金属弹簧圈栓塞穿刺道两种方法预防术后腹腔内出血的疗效。结果 58例患者采用穿刺道填塞明胶海绵条,54例用金属弹簧圈栓塞穿刺道,术中发生弹簧圈脱入肝静脉,进入左肺动脉小分支1例。术后随访未发生肝穿相关的腹腔内出血病例。结论 PTVE术后采用弹簧圈或明胶海绵条栓塞穿刺道简单、有效,是预防术后腹腔内出血的重要措施。
Objective To discuss the preventive measures for liver puncturing tract bleeding occurring after percutaneous transhepatic gastroesphageal varices embolization （PTVE）. Methods A total of 112 cases with variceal bleeding from esophagus and gastric fundus due to cirrhosis were enrolled in this study. PTVE was carried out in all patients. After PTVE, gelatin sponge strips （n = 58） or metal coils （n = 54） were used to fill the puncturing tract in order to prevent postoperative intra-abdominal hemorrhage. The clinical results were analyzed. Results Filling of puncturing tract with gelatin sponge strips or metal coils was performed in all patients. During the procedure the coil dropped into the hepatic vein in one case, which then went into a small branch of the left pulmonary artery. During the follow-up period no liver puncture- related intra-abdominal hemorrhage occurred. Conclusion For the prevention of intra-abdominal hemorrhage after PTVE, filling of puncturing tract with gelatin sponge strips or metal coils is technically simple and clinically effective. Therefore, this technique should be recommended in clinical practice.
出处
《介入放射学杂志》
CSCD
北大核心
2014年第1期73-75,共3页
Journal of Interventional Radiology
关键词
腹腔内出血
经皮经肝食管胃静脉曲张栓塞
肝穿刺道
预防
intra- abdominal hemorrhage
percutaneous transhepatie gastroesphageal varicesembolization
liver puncturing tract
prevention
