胃底静脉曲张破裂出血的栓塞治疗

Embolization Therapy for Gastric Variceal Bleeding

【目的】探讨胃冠状静脉,胃短静脉栓塞术以及联合部分脾栓术治疗胃底静脉出血的价值。【方法】35例患者行经皮经肝穿刺胃冠状静脉,胃短静脉栓塞治疗。1周后,对其中19例合并脾亢者行部分脾动脉栓塞治疗。【结果】34例栓塞成功,随访12个月,6个月内再出血5人,再出血率14.3%,死亡1人;另有3人死于肝功能衰竭。【结论】胃底静脉栓塞术及联合部分脾栓塞术是治疗胃底静脉曲张大出血的有效方法。

To study the value of embolization of gastric coronary and short veins and partial splentic embolization in treatment of gastric variceal bleeding. [Methods] Thirty-five patients were included in the study. Gastric coronary and short veins were embolized. After a week , 19 of them who had the complication of hypersplenism were treated by partial splentic embolization. [Results]Thirty-four patients were successfully in embolization . In the follow-up period of 12 months, variceal bleeding recurred in five cases in 6 months after embolization. The rate of rebleeding was 14. 3%. One cases died in rebleeding and other three cases died of liver failure. [Conclusion]The gastric vein mobilization combined partial splentic embolization is an effective method for the treatment of gastric variceal bleeding.