经皮肝穿栓塞食管曲张静脉的方法与疗效评价

Evaluation of Percutaneous Transhepatic Embolization of Gastroesophageal Varices

１９９１年１１月至１９９４年１１月对１８例门静脉高压食管胃底曲张静脉破裂出血和脾功能亢进患者作了经皮肝穿胃冠状静脉（ＣＶ）胃短静脉（ＳＧＶ）和经皮穿刺股动脉插管行部分脾动脉栓塞（ＰＳＡＥ）术（简称双介入法）的临床应用研究。所有患者急性期止血均获成功，并经２至３６个月随访，证实双介入法明显改善了病人的末梢血象和肝功能。文章重点讨论了插管技术，双介入止血效果及并发症等。

From November 1991 to november 1994, We performed a clinical trial of percutneous transhepatic coronary vein(CV) and short gastric vein(SGV),and partial splenic artery embolization (PSAE) for recurrent gastroesophageal variceal bleeding and hypersplenism(dual interventional method). Hemostasis were successful in all patients during the acute phase. The patients followed up for 2 to 36 months showed good response on peripheral blood count and liver function.The clinical value of this method,the efficacy of treatment as well as complications were discussed in this paper.