摘要
目的 探讨门静脉海绵样变性的病因和治疗。方法 对28例门静脉海绵样变性住院患者的临床资料进行回顾性分析。结果 2B例患者中15例（占53．6％）病因比较明确，13例（占46．4％）未发现明确病因；28例患者中20例有出血史，其中15例行内镜下套扎、硬化剂或组织胶注射治疗，随访4～96月，食管胃底静脉曲张基本消失，1例因食管溃疡再发出血，1例出现食管狭窄。结论 门静脉海绵样变性的病因为多因素；对有消化道出血的患者内镜下治疗可以起到急诊止血和预防再出血的作用。
Objective To discuss etiological factors and treatment of cavernous transformation of portal vein（CTPV）. Methods A retrospective study was made on clinical data of 28 patients with CTPV. Results In 28 patients, 15 patients （53.6%） had confirmative causes and 13 patients（46.4% ） had no confirmative causes. In 28 patients, 20 patients（71.4% ） had histories of upper digestive tract bleeding. Fifteen patients with esophageal and gastric varices were treated with EVL, EVS or cyanocrylate injection. These patients were followed up for 4 to 96 months（ average 14 months）, with the esophageal and gastric varices obliteration on the whole. One patient had a recurrent bleeding because of esophageal ulcer, and one patient had a esophageal constriction. Conclusion The etiological factor of CTPV are various. The endoscopic therapy plays an important role in patients with esophageal and gastric varices in acute bleeding and recurrent bleeding.
出处
《胃肠病学和肝病学杂志》
CAS
2006年第3期258-259,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
门静脉海绵样变性
食管和胃静脉曲张
内镜下治疗
Cavernous transformation of portal vein
Esophageal and gastric varices
Endoscopic therapy
