于淼,张金山.经自发性脾-肾或胃-肾分流道栓塞曲张的胃底静脉临床研究[J].中国医学影像技术,2002,18(8):796~797
经自发性脾-肾或胃-肾分流道栓塞曲张的胃底静脉临床研究
Clinical Research on Transcatheter Obliteration of Gastric Varices through the Spontaneous Spleno-Renal Shunt or Gastro-Renal Shunt
投稿时间:2002-05-15  
DOI:
中文关键词:  胃底静脉曲张  治疗性栓塞  脾-肾分流道  胃-肾分流道
英文关键词:Gastric varices  Therapeutic embolization  Spleno-renal shunt  Gastro-renal shunt
基金项目:
作者单位
于淼 解放军总医院放射科,北京 100853 
张金山 解放军总医院放射科,北京 100853 
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中文摘要:
      目的 对经自发性脾-肾或胃-肾分流道胃底静脉曲张栓塞术治疗肝硬化门脉高压引起的胃底静脉曲张出血进行评价。方法 对28例有肝硬化、消化道出血病史,并均有中度以上胃底及食管静脉曲张的患者,施行经自发性脾-肾或胃-肾分流道胃底静脉曲张栓塞术治疗。结果 操作技术成功率为87.5%,术后1~15个月随访再出血发生率为14.3%,胃底静脉曲张消失或明显改善率85.7%。结论 该技术对闭塞胃底静脉曲张有良好效果。
英文摘要:
      Objective To evaluate the treating effect of transcatheter obliteration through the spontaneous spleno-renal shunt (SSRS) or gastro-renal shunt (SGRS) on gastric varices on patients with portal vein hypertention. Methods Transcatheter obliterations through SSRS or SGRS on 28 patients with gastric varices and history of recurrent gastro-intestinal bleeding resulting from severe hepatocirrhosis were operated on. Results Technical success was obtained at the level of 87.5% .Follow-up visit demonstrated that the re-bleeding rate was 14.3% within 1-15 months,and the rate of disappearance or marked improvement of gastric varices was 85.7%. Conclusion Satisfactory results have been obtained for transcatheter obliteration through SSRS or SGRS in treating gastric varices.
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