Tsang Y M, Au W Y, Chen C M, Hwang K M, Cheng P Y, Wei T C
Jpn J Surg. 1985 Sep;15(5):395-8. doi: 10.1007/BF02469936.
A 27 year old cirrhotic male underwent stenosis of the distal splenorenal shunt to treat bleeding of esophageal varices. Percutaneous transluminal angioplasty was performed first by catheterization of the right femoral vein, but without success. Therefore, a direct puncture of the splenic vein through the spleen was made, under sonographic guidance, followed by balloon dilatation of the stenotic anastomosis. The pressure of the splenic vein before and after PTA was 35 and 29 cm H2O, respectively. Both the follow-up barium esophagogram and esophagoscopy showed marked regression of the esophageal varices.
一名27岁的肝硬化男性接受了脾肾分流远端狭窄修复术以治疗食管静脉曲张出血。首先经右股静脉插管进行经皮腔内血管成形术，但未成功。因此，在超声引导下经脾脏直接穿刺脾静脉，随后对狭窄的吻合口进行球囊扩张。经皮腔内血管成形术前、后脾静脉压力分别为35 cm H2O和29 cm H2O。随访钡剂食管造影和食管镜检查均显示食管静脉曲张明显消退。
