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食道胃底静脉栓塞及脾切除治疗门脉高压症的疗效观察 被引量:1

Observation of effects on portal hypertension treated with gastric-esophageal vein embolization and splenectomy
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摘要 报道了自1986年11月~1995年1月间采用食道胃底静脉栓塞及脾切除术治疗门脉高压症106例的临床疗效;术后8.5年累积死亡8例,3,5及7年生存率分别为93.5%,88.0%和88%;术后再出血13例,术后1,3及5年再出血率分别为1.9%,7.8%和18.0%;食道静脉曲张减轻、消失率达84.2%,结果表明食道胃底静脉栓塞及脾切除术的疗效是比较满意的.作者对食道胃底静脉栓塞和脾切除术的术式改进及如何防止异位栓塞并发症的发生进行了分析与讨论. Effects on 106 cases with portal hypertension,who received gastric-esophageal vein embolization and splenectomy from November 1986 to January 1995,were observed in this paper.Eight cases have died up to now.The postoperative survival rate for 3,5 and 7 years were 93.5%,88%and 88/respectively.The postoperative rehemorhage cases added up to 13.The postoperative rehemorhage rates for1,3 and 5 years were 1.9%,7.8%and 18.0%respectively. The rate of less or disappearing of esophageal varices rose to 84.2%.The results showed the effect of this operation was satisfactory.The analysis and discussion were made by the authors in this paper on the improvement of the operation procedure and prevention of complica-tion,following ectopia embolization.
出处 《第四军医大学学报》 1996年第2期127-128,共2页 Journal of the Fourth Military Medical University
关键词 门静脉高压 栓塞术 脾切除 食道胃管静脉 portal hypertension embolization splenectomy ectopia embolization
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参考文献6

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  • 1谭毓铨,实用外科杂志,1991年,11卷,460页
  • 2陈增民,第四军医大学学报,1989年,10卷,177页
  • 3刘效恭,中华外科杂志,1986年,24卷,648页
  • 4李海晟,医疗器械,1981年,4卷,47页
  • 5阮传良,陕西新医药,1980年,9卷,14页

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