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Clinical application of endoscopic variceal ligation-partials plenic embolization on patients with portal bypertension.
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摘要: 探讨内镜套扎-部分脾栓塞联合术治疗门脉高压症的临床应用价值。对2 5例合并食道静脉曲张和脾功能亢进的门脉高压患者进行内镜套扎-部分脾栓塞联合术,对其术前术后外周血象、脾脏大小、门静脉、脾静脉内径的变化进行对比研究。联合术后患者食道静脉曲张得到根治,脾功能亢进明显缓解,脾脏缩小（P <0 .0 1）、门静脉、脾静脉内径缩小（P <0 . 0 1）。内镜套扎-部分脾栓塞联合术治疗门脉高压症具有简便、安全、效果显著、创伤小、并发症少等优点,是治疗肝硬化门脉高压症的一种新的途径。Abstract: To investigate the clinical application effect of endoscopic variceal ligation-p artial splenic embolization (EVL-PSE) on patients with portal hypertension.Twenty -five patients with esophageal varices and hypersplenism were treated by EVL-PSE .Before and after operation The hemogram, dimension of spleen and diameter of por tal veins and splenic veins were measured in all patients Compared with the cond ition before operation, the esophageal varices and hypersplenism had been well ma naged in all patients.Postoperatively the volume of splen significantly descease d (P<0.01) , diameter of portal veins and splenic veins reduced (P<0.0 1) .EVL-PSE has less traumas and less complications.It is a safe and effective tr eatment modality for patients with portal hypertension.
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[1]刘浔阳, 黄飞舟, 龙光辉, 等内镜食管静脉曲张结扎术-四年经验总结[J].中国内镜杂志, 1995, 1 (1) ∶3-5 [2] 刘国实, 刑克英, 金东辉肝硬化的介入治疗[J].世界华人消化杂志, 2000, 8∶908-909 [3]向述天, 赵卫, 倪静梅, 等选择性脾动脉栓塞的临床意义[J].放射学实践, 2001, 16∶170-171 [4]李晓华, 王炼, 方有文, 等彩色多普勒超声监测肝硬变门脉高压症的血流动力学改变[J].世界华人消化杂志, 1999, 7∶453-454 [5]刘长珠, 傅小敏, 黄君彩色多普勒超声对门静脉高压症食道胃底静脉曲张破裂出血的判断[J].医师进修杂志, 2004, 27 (3) ∶13-15 -
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