经皮经肝胃冠状静脉栓塞术联合脾动脉栓塞术治疗肝硬化食管胃底静脉曲张疗效观察

The effect of percutaneous transhepatic gastric variceal embolization combined with partial splenic embolization in treating cirrhotic patients with gastric and esophageal variceal bleeding

目的观察经皮经肝胃冠状静脉栓塞术联合脾动脉栓塞术治疗肝硬化食管胃底静脉曲张的疗效。方法12例经胃镜明确为食管胃底重度静脉曲张出血的肝硬化患者,择期行经皮经肝胃冠状静脉栓塞术及脾动脉栓塞术,术后定期胃镜检查,观察曲张静脉的动态变化。结果术后即时食管胃底曲张静脉均消失;随访6～12个月曲张静脉基本消失6例,中度曲张3例,仍为重度曲张者3例,其中2例发生再出血,行胃镜下硬化剂治疗。结论经皮经肝胃冠状静脉栓塞术联合脾动脉栓塞术是治疗肝硬化食管胃底静脉曲张安全有效的方法。

Objective To observe the effect of percutaneous transhepatic gastric variceal embolization combined with partial splenic embolization on treating cirrhotic patients with gastric and esophageal variceal bleeding. Methods 12 cirrhostic patients with severe gastroesophageal varices were treated with percutaneous transhepatic gastric variceal embolization combined with partial splenic embolization in a selective time. Endoscope examination was performed after the embolization to observe the dynamic change of the gastroesophageal varices. Results All patientst gastroesophageal varices were disappeared after the embolization. After 6-12 months following, 6 patients kept the same results, 3 patients developed medium varices and 3 patients still showed severe varices again. Conclusion Percutaneous transhepatic gastric variceal embolization combined with partial splenic embolization is a safe and effective method in treating cirrhotic patient with gastroesophageal varices.