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[脾门静脉造影结果与门静脉高压症消化出血风险的相关性]

[Correlations between splenoportographic findings and risk of digestive hemorrhage in portal hypertension].

作者信息

Abeatici S, Dorigo M, Ghigo M, Juliani G

出版信息

Minerva Chir. 1979 Mar 31;34(6):453-6.

PMID:313535
Abstract

In 102 cases examined by splenoportography (93 cirrhosis with patent splenoportal axis and 9 splenoportal thrombosis without appreciable liver changes), the occurrence of episodes of digestive haemorrhage was statistically correlated with age, sex, type of portal impediment, type of collateral circulation, and the presence or otherwise of ascites, and with portal pressure values measured by splenomanometry. The only statistically significant correlation was that concerning the type of hepatofugal collateral circulation, as digestive haemorrhage proved gradually less frequent in patients with gastro-oesophageal collateral circulation, in those with so-called infraportal collateral circulation and, finally, in those where angiography was unable to demonstrate the presence of any collateral circulation at all.

摘要

在102例接受脾门静脉造影检查的患者中(93例为脾门静脉轴通畅的肝硬化患者,9例为无明显肝脏改变的脾门静脉血栓形成患者),消化道出血发作的发生与年龄、性别、门静脉梗阻类型、侧支循环类型、腹水的有无以及通过脾测压法测得的门静脉压力值存在统计学相关性。唯一具有统计学意义的相关性是关于肝外分流性侧支循环的类型,因为事实证明,在有胃食管侧支循环的患者、有所谓门静脉下侧支循环的患者以及最终血管造影无法显示任何侧支循环存在的患者中,消化道出血逐渐不那么频繁。

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