| 经皮肝穿食管曲张静脉栓塞术和脾栓塞的临床应用 |
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| 引用本文： | 王桂林,蒋忠仆,申麒,邢建强. 经皮肝穿食管曲张静脉栓塞术和脾栓塞的临床应用[J]. 胃肠病学和肝病学杂志, 2000, 9(1): 63-64 |
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| 作者姓名： | 王桂林 蒋忠仆 申麒 邢建强 |
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| 作者单位： | 开封市第一人民医院,开封,475000 |
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| 摘 要： | 目的 联合应用经皮肝穿食管曲张静脉栓塞术（ＰＴＯ）和部分性脾栓塞术（ＰＳＥ）、探讨其对预防和治疗胃底和食管曲张静脉破裂出血合并脾功能亢进的治疗效果。方法 对１３例肝硬化门脉高压口才行ＰＴＯ治疗，然后进行ＰＳＥ《结果 全部病例术后造影及胃镜复查食管静脉曲张明显缓解或消失，未见再出血者。超声复查，脾脏栓塞面积达５０￣６０％，１￣３个月后患者周围血象不同程度回升。结论 ＰＴＯ加ＰＳＥ是治疗食管静脉曲张破
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| 关 键 词： | 门脉高压 食管静脉曲张 出血 梗塞 治疗 |
| 修稿时间： | 1999-10-10 |
The clinical application of percutaneous transhepafic obliteration(PTO) of esophageal varices and partial spleen embolism(PSE) |
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| Wang Guilin,Jiang Zhongpu,Shen Qi,et al. The clinical application of percutaneous transhepafic obliteration(PTO) of esophageal varices and partial spleen embolism(PSE)[J]. Chinese Journal of Gastroenterology and Hepatology, 2000, 9(1): 63-64 |
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| Authors: | Wang Guilin Jiang Zhongpu Shen Qi et al |
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| Affiliation: | Wang Guilin,Jiang Zhongpu,Shen Qi,et al Department of internal medicine,the first people's hospital of kaifeng,Kaifeng 475000 |
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| Abstract: | Aim To study the efficacy of PTO and PSE combined in the management of gastroesophageal variceal hemorrhage and hypersplenism.Methods PTO is applied to treat 13 portal hypertension patients with cirrhosis,then PSE is applied.Results The varices were remited obviously or disappeared completely in all patients confirmed by ultrosound and endoscopy,and hemorrhage was not found again.The area of spleen infarct is up to 50-60%.The blood routine test showed some improvement in 1-3 months.Conclusions PSE after PTO is an effective non-operation method to treat gastroesophageal hemorrhage and hyper-splenism,especially to the patients who don't tolerate operation when internal medicine treatment is ineffective. |
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| Keywords: | Portal hypertension Esophageal varices Hemorrhage Infarction |
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