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目的 :探讨肝硬化晚期并发症脾功能亢进及门静脉高 ,压症引起反复上消化道出血的微创治疗。方法 :对肝硬化并脾功能亢进门脉高压引起反复上消化道大出血的患者随机分为治疗组、对照组 ,治疗组给予食道静脉套扎 +胃底静脉组织粘合剂注射 ,同时进行脾动脉栓塞 ,对照组行脾切加食道贲门周围静脉离断术。结果 :治疗组在近期远期再出血率及死亡率总体上优于对照组。结论 :食道静脉套扎 ,胃底粘合剂注射及脾动脉栓塞联合治疗 ,是肝硬化晚期脾功能亢进 ,门脉高 ,压上消化道大出血的有效治疗方法。
Objective: To investigate the complications of advanced liver cirrhosis hypersplenism and portal hypertension, depression caused by repeated upper gastrointestinal bleeding minimally invasive treatment. Methods: Patients with cirrhosis and hypersplenism caused by repeated upper gastrointestinal hemorrhage caused by portal hypertension were randomly divided into treatment group, control group, treatment group given esophageal vein ligation plus gastric fundus adhesive injection, while splenic artery Embolization, the control group splenectomy plus esophageal peripheral venous disconnection. Results: The long-term rebleeding rate and mortality in the treatment group were generally better than those in the control group. Conclusion: The esophageal vein ligation, gastric adhesive injection and splenic arterial embolization combined therapy is an effective treatment for advanced liver cirrhosis with hypersplenism, high portal hypertension and upper gastrointestinal bleeding.