中国实用内科杂志2024，Vol.44Issue(7)：571-574,579,5.DOI:10.19538/j.nk2024070110
超声内镜引导下弹簧圈置入联合组织胶注射治疗合并胃-肾分流/脾-肾分流的胃底静脉曲张出血疗效研究
Endoscopic ultrasound-guided coil placement combined with tissue glue injection in the treatment of gastric variceal bleeding with gastrorenal shunt/splenorenal shunt
摘要
Abstract
Objective To explore the effectiveness and safety of EUS-guided coil placement combined with glue injection in the treatment of gastric varicose bleeding combined with GRS/SRS.Methods The hemostasis success rate,rebleeding rate,and ectopic embolization rate of the above patients in Beijing Friendship Hospital,Capital Medical University from December 2017 to May 2023 were retrospectively analyzed.Results A total of 48 patients were included in the study,with a male-female ratio of 20:28,and an average age of 62.7(39.0-71.0)years.Among them,15 patients had GRS,29 patients had SRS,and 4 patients had GRS combined with SRS.The average maximum diameter of the shunt channel was 1.5 cm,and the average minimum diameter was 0.7 cm.The operation success rate was 100％,and the hemostasis success rate was 97.9％.The average diameter of the coil was 11.3 mm,and the average number of coils inserted was 1.3.The average injection volume of tissue glue was 6.3 mL.The average follow-up was 2.9 years,the rebleeding rate was 18.8％,and the incidence of ectopic embolism was 4.2％.Conclusion EUS-guided coil combined with tissue glue has a good effect on the treatment of gastric varicose bleeding combined with GRS/SRS,and the incidence of complications is low.关键词
胃底静脉曲张出血/超声内镜引导下弹簧圈置入/胃-肾分流/脾-肾分流/异位栓塞Key words
gastric varicose bleeding/EUS-guided coil placement/gastrorenal shunt/spleen-renal shunt/ectopic embolism分类
医药卫生引用本文复制引用
张政,赵海英,魏红涛,李鹏..超声内镜引导下弹簧圈置入联合组织胶注射治疗合并胃-肾分流/脾-肾分流的胃底静脉曲张出血疗效研究[J].中国实用内科杂志,2024,44(7):571-574,579,5.基金项目
北京市医院管理中心"登峰"人才培养计划(DFL20220101) （DFL20220101）
