[1]姚红响,陈根生,孙慧伶,等.经皮肝穿刺食管胃底静脉介入栓塞技术的探讨[J].介入放射学杂志,2008,(10):741.
　YAO Hongxiang,CHEN Gensheng,SUN Huiling,et al.Evaluation of percutaneous transhepatic gastroesophageal varices embolization[J].journal interventional radiology,2008,(10):741.
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经皮肝穿刺食管胃底静脉介入栓塞技术的探讨()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年10期
页码:
741
栏目:
临床研究
出版日期:
2008-10-15

文章信息/Info

Title:
Evaluation of percutaneous transhepatic gastroesophageal varices embolization
作者:
姚红响; 陈根生; 孙慧伶; 等
３２３０００浙江丽水（温州医学院附属第六医院），丽水市人民医院介入科（姚红响、陈根生、孙慧伶、曾群）；上海复旦大学附属中山医院（颜志平）
Author(s):
YAO Hong－xiang; CHEN Gen－sheng; SUN Hui－ling; YAN Zhi－ping; ZENG Qun
Department of Interventional Radiology，Lishui Municipal People's Hospital，Zhejiang３２３０００，China
关键词:
经皮肝门静脉穿刺; 门静脉高压; 食管胃底静脉曲张; 介入栓塞
分类号:
R７３５.７
文献标志码:
B
摘要:
目的探讨经皮肝穿刺食管胃底静脉栓塞治疗和预防肝硬化、门静脉高压食管胃底静脉曲张破裂出血的介入栓塞技术的临床应用。方法对４８例肝硬化门静脉高压食管胃底静脉曲张患者，采用经皮肝穿刺食管胃底静脉栓塞或联合脾动脉部分栓塞术预防和控制上消化道出血。结果经皮肝穿刺食管胃底静脉栓塞手术成功率９７．９％，止血率达１００％。术中弹簧圈移位１例，发生以血压下降、心率减慢为特点的迷走反射４例；术后出现顽固性（胸）腹水４例，腹腔内出血导致死亡１例。术后连续随访１年：在前６个月内２例死于肝衰竭，再出血２例；在后６个月内３例失访，再出血５例。结论经皮肝穿刺食管胃底静脉栓塞技术是一种微创、有效的方法。注意手术操作细节对提高手术成功率、降低手术并发症有重要意义。

参考文献/References:

［１］Matsumoto A，Hamamoto N，Nomura T，et al．Balloon－occluded retrograde transvenous obliteration of high risk gastric fundal varices［J］．Am J Gastroenterol，１９９９，９４：６４３－６４９．
［２］权启镇，谢宗贵，齐凤．胃冠状、胃短静脉栓塞术对胃底静脉曲张出血疗效评价［J］．中华消化杂志，２００５，２５：８７－８９．
［３］Gong GQ，Wang XL，Wang JH，et al．Percutaneous transsplenic embolization of esophageal and gastrio－fundal varices in１８patients［J］．World J Gastroenterol，２００１，７：８８０－８８３．
［４］刘清欣，颜志平，王建华．等．胃冠状静脉栓塞术在门静脉高压症治疗中的应用［J］．中国实用外科杂志，２００１，２１：５００－５０１．
［５］Kiyosue H，Mori H，Matsumoto S，et al．Transcatheter oblitera tion of gastric varices strategy and techniques based on hemodynamic features［J］．Radiographics，２００３，２３：９２１－９３７．
［６］王建华，王小林，颜志平．腹部介入放射学［M］．上海：上海医科大学出版社，１９９８：１５６－１６１．
［７］李征然，单鸿，朱康顺，等．部分性脾栓塞术改变门静脉血流动力学的适量研究［J］．中华放射学杂志，２００２，３６：９１３－９１７．

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备注/Memo

备注/Memo:
收稿日期：２００８－０２－２９
更新日期/Last Update: 2008-10-15