[胃冠状静脉选择性栓塞术——治疗食管静脉曲张出血的新方法]
[Selective embolization of coronary vein of the stomach--a new approach for the treatment of bleeding from esophageal varices].
作者信息
Ye Q, Dai Z, Qiu F, Liu X
机构信息
Abteilung für Chirurgie, Tongji Klinik, Tongji Medizinische Universität, Wuhan.
出版信息
J Tongji Med Univ. 1996;16(1):36-40. doi: 10.1007/BF02889042.
Selective embolization of coronary vein of stomach was employed for the treatment of 222 patients with bleeding from esophageal varices due to portal hypertension. The coronary vein was separated at middle segment and tube was inserted and clamped 5 cm below and above the cardia. The gamma-octyl-cyanoacrylate was used for embolization. 19 patients received preventive operation, 106 was subject to emergency surgery and 98 patients was treated by elective operation. The bleeding of all patients receiving emergency procedure was stopped. 3 died of liver failure after operation. 219 survived. 189 cases were followed up for 1-2 years and on varices was found. 182 cases followed up for 6 years revealed no relapse of bleeding. This technique could achieve good curative effect, which provides a new approach for the treatment of bleeding from esophageal varices of portal hypertension.
采用胃冠状静脉选择性栓塞术治疗222例门静脉高压症所致食管静脉曲张破裂出血患者。于胃冠状静脉中段分离出该静脉，插入导管并在贲门上下5cm处钳夹。采用γ-辛基-氰基丙烯酸酯进行栓塞。19例接受预防性手术，106例接受急诊手术，98例接受择期手术。所有接受急诊手术的患者出血均停止。3例术后死于肝功能衰竭。219例存活。189例随访1 - 2年，未发现静脉曲张复发。182例随访6年，未发现出血复发。该技术疗效良好，为门静脉高压症食管静脉曲张破裂出血的治疗提供了一种新方法。
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