Comparison of prevention and treatment of portal vein thrombosis between proximal splenic vein ligation followed by postoperative transcatheter anticoagulant therapy and systemic anticoagulant therapy in patients with cirrhotic portal hypertension

Aims:Splenectomy combined with pericardial devascularization is one of the important methods to treat hypersplenism,gastrointestinal bleeding,and other complications caused by liver cirrhosis;however,it is accompanied by a high risk of portal vein thrombosis(PVT).This study aimed to explore the preventive and therapeutic effects of proximal splenic vein ligation(PSVL)with postoperative transcatheter anticoagulant therapy(TCAT)on PVT.Methods:This study retrospectively selected 143 patients with liver cirrhosis and portal hypertension,who received splenectomy combined with pericardial devascularization from June 30,2018 to June 30,2021.According to computed tomography photography,within 1 week before the operation,the patients were divided into a prevention group(without preoperative PVT,n=112)and a treatment group(preoperative PVT,n=31).Then,each group was subdivided based on the treatment and prevention measures into PSVL+TCAT(n=70)and systemic anticoagulant therapy(SAT)subgroups(n=73).The preventive and therapeutic effects of PSVL followed by TCAT on PVT were analyzed.Results:The operation time in the PSVL+TCAT subgroups was longer than that in the SAT subgroups(185±76 min vs.161±55 min;p<0.01).There was no difference between the two subgroups in terms of operative bleeding(345±82 mL vs.336±65 mL;p>0.50).There was no operative death,and all patients recovered uneventfully.In the prevention group,procedure-related complications occurred in two patients in the PSVL+TCAT subgroup(3.7%[2/54]),including one patient with slight pancreatitis and one patient with chylous leakage,owing to mobilization of the pancreas.The PVT incidence in the prevention group was significantly different between the two subgroups at postoperative 7th day,3rd month,and 6th month(PSVL+TCAT:0%,11.1%,and 5.6%vs.SAT:39.7%,31.0%,and 20.7%,respectively;all p<0.05).In the treatment group,the thrombus regression rate at postoperative 7th day and disappearance rates at the 3rd month and the 6th month of the PSVL+TCAT subgroup were significantly higher than those in the SAT subgroup after anticoagulant and thrombolysis therapy(PSVL+TCAT:75.0%,68.8%,and 87.5%vs.SAT:20.0%,26.7%,and 40.0%;all p<0.05).Conclusions:PSVL+TCAT reduces the risk of PVT after splenectomy and is safe and effective in treating PVT during surgery for portal hypertension.

Research on Electromagnetic Wave Absorption Based on Electrospinning Technology

At present,in order to overcome electromagnetic interference and prevent electromagnetic harm,the research of new and efficient electromagnetic wave absorbing materials has become the research focus in the field of materials science.The one-dimensional structure can promote the impedance matching and attenuation characteristics of the absorbing materials.Electrospinning,as an effective method to prepare nanofibers with high length-diameter ratio,has been widely concerned because it is suitable for struc-tural design of various materials.In this paper,the research progress and absorption properties of nano-fiber materials prepared by electrospinning combined with different processes are introduced.