CAJ | 학술논문

目的：探讨内镜治疗（套扎、硬化剂及组织胶注射术）联合经皮经肝胃冠状静脉栓塞术治疗食管胃底曲张静脉破裂出血的中远期疗效。方法：共38例食管胃底静脉曲张破裂出血患者先行内镜检查及上腹部增强CT门脉重建。根据食管胃底曲张静脉严重程度采取内镜下套扎、硬化剂及组织胶注射术联合经皮经肝胃冠状静脉栓塞。结果：本组38例患者急诊止血10例，择期治疗28例。随访3~52个月，平均随访15个月，复发出血5例（13.1%）。结论：内镜治疗联合经皮经肝胃冠状静脉栓塞术治疗门脉高压消化道大出血是一种安全、可靠的治疗方法，能够显著降低再次出血发生。
목적：탐토내경치료（투찰、경화제급조직효주사술）연합경피경간위관상정맥전새술치료식관위저곡장정맥파렬출혈적중원기료효。방법：공38례식관위저정맥곡장파렬출혈환자선행내경검사급상복부증강CT문맥중건。근거식관위저곡장정맥엄중정도채취내경하투찰、경화제급조직효주사술연합경피경간위관상정맥전새。결과：본조38례환자급진지혈10례，택기치료28례。수방3~52개월，평균수방15개월，복발출혈5례（13.1%）。결론：내경치료연합경피경간위관상정맥전새술치료문맥고압소화도대출혈시일충안전、가고적치료방법，능구현저강저재차출혈발생。
Objective: To investigate the endoscopic therapy (ligation, hardener and cyanoacrylate) rubber injection combined percutaneous by gastric coronary vein embolization (PTVE) to treat esophageal varicose vein rupture bleeding the long-term efficacy of stomach bottom.Method: A total of 38 patients with esophageal gastric varices first endoscopy and enhanced upper abdomen CT portal vein reconstruction. According to the stomach esophagus varicose vein severity by endoscopic ligation, curing agent and the tissue glue injection combined percutaneous liver gastric coronary vein embolization.Result: 10 cases of emergency stop bleeding, 38 patients undergoing elective treatment of 28 cases. The were followed up for 3-52 months, with an average follow-up of 15 months, the recurrence of bleeding in 5 cases (13.1%). Conclusion: Endoscopic therapy combined percutaneous liver gastric coronary vein embolization in the treatment of portal hypertension of gastrointestinal bleeding is a safe and reliable treatment, can significantly reduce the bleeding occurred again on curative effect analysis.