TH胶胃冠状静脉栓塞治疗门脉高压上消化道出血

Clinical analysis of gastric coronary vein embolization with medical TH tissue adhesive for the treatment of portal hypertention

目的探讨应用TH胶(含显影剂的α-氰基丙烯酸正辛酯)行胃冠状静脉栓塞治疗门脉高压食管胃底静脉曲张的方法,评价其近期疗效。方法对我院行该术式治疗的36例门脉高压症患者作回顾性分析。结果栓塞术后食管胃底静脉曲张减轻,术后1年再出血率5.6%(2/36),与传统断流术相比有显著下降(P<0.01)。结论应用TH胶胃冠状静脉栓塞治疗门脉高压消化道出血,手术较安全,创伤小,止血彻底,再出血率低,临床疗效满意。

Objective：To discuss the clinical methods and short - term effects of gastric coronary veins embolization with medical TH tissue adhesive for the treatment of portal hypertention and gastric - esophageal varices. Methods：Retro - anal-ysis of 36 cases underwent embolization and splenctomy. Results：Condition of gastric - esophageal vein varices was im-proved after the operations. Postoperative rehemorhage rate for 1 years was 5. 6%（2 / 36）. The rate was decreased signifi-cantly compared with those of conventional surgical methods. Conclusion：Operation of gastric - esophageal embolization with medical TH tissue adhesive for the treatment of portal hypertention is safe with less injury and the effects are satisfacto-ry.