金属夹联合组织胶注射治疗胃静脉曲张伴自发性门体分流的临床研究(含视频)

Metal clips combined with endoscopic histoacryl injection in the treatment of gastric varices with spontaneous portosystemic shunts(with video)

目的探讨金属夹联合组织胶注射治疗胃静脉曲张伴自发性门体分流的疗效和安全性。方法2016年5月至2018年10月,于首都医科大学附属北京地坛医院行金属夹联合组织胶注射治疗的合并自发性门体分流的32例胃静脉曲张出血患者纳入回顾性分析,总结治疗情况及并发症情况。结果32例患者均成功止血,组织胶中位使用量为3.8 mL。静脉曲张根除或基本消失9例,静脉曲张改善23例。术后72 h、7 d、14 d及6周均无再出血,无异位栓塞发生。结论金属夹联合组织胶注射治疗胃静脉曲张伴自发性门体分流有良好的安全性和短期疗效。

Objective To evaluate the safety and efficacy of metal clips combined with endoscopic histoacryl injection for gastric varices with spontaneous portosystemic shunts.Methods The clinical data and complications of 32 patients who were treated with metal clips combined with endoscopic histoacryl injection at Beijing Ditan Hospital of Capital Medical University from May 2016 to October 2018 were collected and analyzed.Results Hemostasis was achieved in all patients,and the median volume of histoacryl was 3.8 mL.Varices were eradicated or disappeared in 9 cases,and the degree of varices were lessened in 23 cases.No rebleeding was found at 72 h,7 d,14 d and 6 weeks after operation in any patient.No ectopic embolism occurred.Conclusion Metal clips combined with endoscopic histoacryl injection is effective and safe to treat gastric varices with spontaneous portosystemic shunts.