内镜套扎—部分脾栓塞联合术治疗肝硬化门脉高压症的疗效观察

CLINICAL APPLICATION OF ENDOSCOPIC VARICEAL LIGATION-PARTIAL SPLENIC EMBOLIZATION ON PATIENTS WITH PORTAL HYPERTENSION

[目的]探讨内镜套扎—部分脾栓塞联合术治疗肝硬化门脉高压症的临床应用价值。[方法]对28例肝硬化门脉高压患者进行内镜套扎—部分脾栓塞联合术,对其术前后的外周血象、门静脉及脾静脉内径的变化进行对比研究。[结果]联合术后患者食管静脉曲张得到根治,脾功能亢进明显缓解,脾脏缩小,门静脉及脾静脉内径缩小。[结论]内镜套扎—部分脾栓塞联合术治疗肝硬化门脉高压症具有简便安全、效果显著、创伤小、并发症少等优点,因此是治疗的一种新的途径。

[ Objective] To investigate the clinical application effect of endoscopic variceal ligation-partial splenic embolization （EVL-PSE） on patients with portal hypertension. [Methods] Twenty-eight patients with esophageal varices and hypersplenism were treated by EVL-PSE. Before and after operation, the hemogram, dimension of spleen and diameter of portal veins and splenic veins in all patientswere compared. [Results] The esophageal varices had been cured in all patients, bypersplenism got obvious anesis, the postoperative volume of spleen significantly diminished, diameter of portal veins and splenic veins reduced. [Conclusions] EVL-PSE has less traumas and less complications. It is a safe and effective therapeutic measure for hepatic cirrhosis patients with portal hypertension.