Granov A M, Ryzhkov V K, Tarazov P G
Khirurgiia (Mosk). 1991 Nov(11):84-8.
The authors studied the long-term results of portal hypertension correction in patients with far-advanced stages of cirrhosis of the liver. Embolization of the hepatic and/or splenic arteries was performed in 231 patients (147 males and 84 females) aged from 17 to 70 years. Sixty-seven patients are alive at present, the average duration of the follow-up period is 57.9 +/- 19.8 months. Four patients were not followed up; 160 patients died, 18 (7.8%) of them within 30 days after an endovascular manipulation. The mean survival of patients who were discharged from the clinic was 21.1 +/- 17.4 months. Survival was higher among patients treated by successive embolization of the hepatic and splenic arteries than in those treated by occlusion of one of these vessels. Comparative analysis showed that embolization of arteries of the hepatolienal zone prolongs the life of patients with complicated forms of portal hypertension in cirrhosis of the liver.
作者研究了晚期肝硬化患者门静脉高压矫正的长期结果。对231例年龄在17至70岁之间的患者（147例男性和84例女性）进行了肝动脉和/或脾动脉栓塞术。目前有67例患者存活，随访期平均为57.9±19.8个月。4例患者未进行随访；160例患者死亡，其中18例（7.8%）在血管内操作后30天内死亡。从诊所出院的患者平均生存期为21.1±17.4个月。与仅栓塞肝动脉或脾动脉其中之一的患者相比，先后栓塞肝动脉和脾动脉的患者生存率更高。对比分析表明，肝脾区动脉栓塞可延长肝硬化合并门静脉高压复杂型患者的生存期。
