Shalimov O O, Kalyta M Ia, Bulanov K I, Nikishyn L F, Buryĭ O M
Klin Khir. 1997(3-4):4-8.
Experience of mini-invasive interventions in 180 patients with hepatic cirrhosis (HC), complicated by portal hypertension syndrome in decompensation stage was summarized. High risk of laparotomy in this patients made its conduction impossible. Mini-invasive interventions included the truncus coeliacus branches embolization, peritoneovenous shunting, endoscopic sclerotherapy of esophageal varicose veins. Total mortality constituted 6%. There were few severe complications. Most frequent rate (81% of observations) of fair results in the late period was noted after conduction of consecutive interventions. It promoted the increase of patients life span. The staged tactic of treatment constitutes a new perspective trend in the treatment of patients with complicated HC.
总结了180例肝硬化（HC）患者的微创干预经验，这些患者均处于失代偿期并伴有门静脉高压综合征。此类患者进行剖腹手术的风险很高，无法实施。微创干预措施包括腹腔干分支栓塞、腹腔静脉分流术、内镜下食管静脉曲张硬化治疗。总死亡率为6%。严重并发症较少。连续干预后，晚期疗效良好的最常见发生率（81%的观察病例）得以实现。这延长了患者的寿命。分阶段治疗策略是治疗复杂HC患者的一种新的前瞻性趋势。
