胃冠状静脉栓塞、脾切除治疗门静脉高压症

TREATMENT OF PORTAL HYPERTENSION BY EMBOLIZATION OF GASTRIC CORONARY VEINS AND SPLENECTOMY

脾切除后经胃冠状静脉注入TH胶治疗门静脉高压,能使胃冠状静脉及胃底和食道的曲张静脉立即栓塞,并起到闭塞贲门周围血管使门体静脉断流的作用。适用于择期手术、急危患者、多次手术再出血及预防性手术。经急诊手术、选择性手术和预防性手术各1例的治疗观察,无一例死亡。胃冠状静脉切开插管注入TH胶优于直接穿刺注入,并应正确掌握TH胶注入量。

It can immediately embolize the gastric coronary veins and the. variciform veins of the fundus of stomach and the esophagus to treat the portal hypertension by injecting α-cyanoacrylate through gastric coronary veins after splenectomy, thereby closing the veins around the cardia and cutting off the blood flow between the portal and systemic veins. The therapy is suitable for time-selecting operations, emergent and critically-ill cases and preventive operations. Three Cases were treated respectively by emergent, time-selecting and preventive operations and no one died. Injecting cyanoacrylate by gastric coronary venesectioh and intubation is better than injecting directly by venepuncture. The. injecting dose of cyanoacrylate must be controlled correctly.