Pairs of interventional therapy with variceal ligation in the treatment of portal hypertension A comparative study of upper gastrointestinal bleeding.docVIP

 PAGE \* MERGEFORMAT 9 Pairs of interventional therapy with variceal ligation in the treatment of portal hypertension A comparative study of upper gastrointestinal bleeding Authors: Feng Kai Chun-Qing Zhang, Wang Jing Lin Liming [Keywords:] hypertension, portal vein upper gastrointestinal bleeding esophageal ligation intervention TH glue Gastric variceal bleeding is a severe complication of portal hypertension, one of the high fatality rate, and easy to repeated attacks, the death rate increased with the increase in the number of bleeding. Since 1999, our hospital percutaneous transhepatic portal vein puncture application of the increase in TH glue (including the reagent, d-octyl cyanoacrylate) embolization for gastric esophageal varices combined with partial splenic embolization in 72 patients, endoscopic variceal ligation (endoscopic variceal ligation, EVL) 78 cases, reviewed clinical data and analysis and comparison of the efficacy of two surgical methods and clinical application. 1 Data and methods 1.1 into the group and exclusion criteria in April 1999 -2002 years of general surgery in our hospital in October to carry out percutaneous transhepatic portal vein TH glue application (including the reagent, d-octyl cyanoacrylate) embolization for gastric variceal combined with partial splenic embolization and EVL. Meet the following standards for the enrolled cases: 1) clinical manifestations and imaging features consistent with portal hypertension; 2) electronic endoscopy confirmed gastric esophageal varices; 3) have at least one times a history of upper gastrointestinal bleeding , and no other cause of upper gastrointestinal bleeding disorders evidence. Exclusion criteria: a serious obstacle to the clotting time, hepatorenal syndrome, with hepatocellular carcinoma or with spontaneous bacterial peritonitis, hepatic encephalopathy III ~ IV period and cardiopulmonary dysfunction. 1.2 General information into the group of patients were divided into two