摘要
目的：探讨内镜治疗（套扎、硬化剂及组织胶注射术）联合经皮经肝胃冠状静脉栓塞术治疗食管胃底曲张静脉破裂出血的中远期疗效。方法：共38例食管胃底静脉曲张破裂出血患者先行内镜检查及上腹部增强CT门脉重建。根据食管胃底曲张静脉严重程度采取内镜下套扎、硬化剂及组织胶注射术联合经皮经肝胃冠状静脉栓塞。结果：本组38例患者急诊止血10例,择期治疗28例。随访3～52个月,平均随访15个月,复发出血5例（13.1%）。结论：内镜治疗联合经皮经肝胃冠状静脉栓塞术治疗门脉高压消化道大出血是一种安全、可靠的治疗方法,能够显著降低再次出血发生。
Objective： To investigate the endoscopic therapy （ligation, hardener and cyanoacrylate） rubber injection combined percutaneous by gastric coronary vein embolization （PTVE） to treat esophageal varicose vein rupture bleeding the long-term efficacy of stomach bottom.Method： A total of 38 patients with esophageal gastric varices first endoscopy and enhanced upper abdomen CT portal vein reconstruction. According to the stomach esophagus varicose vein severity by endoscopic ligation, curing agent and the tissue glue injection combined percutaneous liver gastric coronary vein embolization.Result： 10 cases of emergency stop bleeding, 38 patients undergoing elective treatment of 28 cases. The were followed up for 3-52 months, with an average follow-up of 15 months, the recurrence of bleeding in 5 cases （13.1%）. Conclusion： Endoscopic therapy combined percutaneous liver gastric coronary vein embolization in the treatment of portal hypertension of gastrointestinal bleeding is a safe and reliable treatment, can significantly reduce the bleeding occurred again on curative effect analysis.
出处
《中国医学创新》
CAS
2014年第19期147-149,共3页
Medical Innovation of China
关键词
食管胃底静脉曲张破裂出血
内镜下治疗
经皮肝穿刺
胃冠状静脉栓塞术
Esophageal gastric varices bleeding
Endoscopic treatment
Percutaneous liver puncture
Gastric coronary vein embolization
