关键词: 门脉高压症;栓塞;上消化道出血

    摘 要:目的 探讨应用TH胶(含显影剂的α-氰基丙烯酸正辛酯)行胃冠状静脉栓塞加脾切除，治疗门脉高压症、食管胃底静脉曲张的手术技巧，评价其远期疗效. 方法 对我院1986～2000行该术式治疗的136例门脉高压症患者作回顾性分析. 结果 栓塞术后，食管胃底静脉曲张减轻，术后1a再出血率1.0%(1/97)，3，5，7a再出血率分别为6.2%(6/97)，16.0%(16/97)和21.1%(21/97)，与传统断流术相比有显著下降(P<0.01). 结论 应用TH胶胃冠状静脉栓塞治疗门脉高压症，手术较安全，创伤小，止血彻底，再出血率低，临床疗效满意.

    Clinical analysis of gastric coronary vein emboliza┐tion with medical TH tissue adhesive for the treat┐ment of portal hypertention

    PENG Yong，MA Zhong，NIN Mo-Fan，YANG Hong-Bin，HUANG Yu-Mian，JI Yuan-Chao，GE Jin，WANG Lin，BIAN Jie-Fang

    Department of Vascular Surgery，Xijing Hospital，Fourth Military Medical University，Xi'an710033，China

    Keywords:portal hypertention;embolization;upper alimen-tary tract bleeding

    Abstract:AIM To discuss the operation techniques and long-term effects of gastric coronary veins embolization with medical TH tissue adhesive and splenectomy for the treat-ment of portal hypertention and gastric-esophageal varices.METHODS Retro-analysis of136cases underwent em-bolization and splenctomy between1986and2000.RESULTS Condition of gastric-esophageal vein varices was improved after the operations.Postoperative rehemorhage rates for1 ......