Zhongguo xue xi chong bing fang zhi za zhi = Chinese journal of schistosomiasis control · 2017
[Percutaneous transsplenic varices embolization in treatment of upper gastrointestinal hemorrhage of schistosomiasis cirrhosis].
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chang-Xue Ji, Ying Li, Shuai Ju, Jin-Wei Qiang
Аннотация
OBJECTIVE: To evaluate the application value of percutaneous transsplenic varices embolization (PTSVE) in the treatment of upper gastrointestinal hemorrhage in patients with schistosomiasis cirrhosis.
METHODS: Sixteen schistosomiasis cirrhosis patients (12 males and 4 females) with portal hypertension complicated with esophageal and upper gastrointestinal hemorrhage were selected as the investigation subjects, all the patients had been treated by esophageal vein ligation and sclerotherapy, but with bleeding again post-operation. The patients were treated by PTSVE under the guidance of X-ray fluoroscopy. The success rate of PTSVE and the rate of complications were observed. In addition, the patients received PTSVE were reexamined with abdominal CT one month post-operation, and the degrees of varices were compared before and after PTSVE.
RESULTS: Fourteen cases (87.50%) were successfully treated with PTSVE. Two cases (12.50%) failed, and one case had an abdominal bleeding 1 week post-operation. The abdominal CT showed the degrees of esophageal varices (P < 0.001), esophageal vein (P < 0.001) and gastric varices (P < 0.001) were significantly decreased in the patients who received PTSVE one month after the operation.
CONCLUSIONS: PTSVE is a safe and effective method in the treatment of upper gastrointestinal hemorrhage in the patients with schistosomiasis cirrhosis. PTSVE is especially suitable for the patients with severe liver cirrhosis, significantly bordered liver split, and bared main portal vein and even the branches.
METHODS: Sixteen schistosomiasis cirrhosis patients (12 males and 4 females) with portal hypertension complicated with esophageal and upper gastrointestinal hemorrhage were selected as the investigation subjects, all the patients had been treated by esophageal vein ligation and sclerotherapy, but with bleeding again post-operation. The patients were treated by PTSVE under the guidance of X-ray fluoroscopy. The success rate of PTSVE and the rate of complications were observed. In addition, the patients received PTSVE were reexamined with abdominal CT one month post-operation, and the degrees of varices were compared before and after PTSVE.
RESULTS: Fourteen cases (87.50%) were successfully treated with PTSVE. Two cases (12.50%) failed, and one case had an abdominal bleeding 1 week post-operation. The abdominal CT showed the degrees of esophageal varices (P < 0.001), esophageal vein (P < 0.001) and gastric varices (P < 0.001) were significantly decreased in the patients who received PTSVE one month after the operation.
CONCLUSIONS: PTSVE is a safe and effective method in the treatment of upper gastrointestinal hemorrhage in the patients with schistosomiasis cirrhosis. PTSVE is especially suitable for the patients with severe liver cirrhosis, significantly bordered liver split, and bared main portal vein and even the branches.