Auxiliary effect of ultrasonic guidance for percutaneous transhepatic varices embolization
10.11659/jjssx.1672-5042.201306030
- VernacularTitle:超声引导对经皮肝胃冠状静脉栓塞术的辅助作用
- Author:
Jingsong LI
;
Junwen ZHANG
;
Qiang LIU
- Publication Type:Journal Article
- Keywords:
percutaneous transhepatic varices embolization;
ultrasonic guidance;
cirrhosis;
hemorrhage of upper gastrointestinal
- From:
Journal of Regional Anatomy and Operative Surgery
2013;(6):652-653
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the auxiliary effect of ultrasonic guidance for percutaneous transhepatic varices embolization ( PTVE) for the treatment of hemorrhage of upper gastrointestinal with cirrhosis. Methods Fifty-two patients arranged PTVE by ultrasonic guidance were considered as observation group,and 37 patients arranged PTVE by blind paracentesis were considered as control group. The paracentesis success ratio,time of paracentesis,results and rate of complications in the two groups were compared. Results The achievement ratio of one-time puncture in observation group(73. 1%) was significantly increased than that in control group(43. 25). The differences were statistically significant(P<0. 05). The time of paracentesis in observation group (2. 3±0. 6) min was shorter than that in control group(4. 2±0. 8) min. The differences were statistically significant(P<0. 05). The rate of embolization rate in observation group(100%) was obviously higher than that in control group(86. 5%),the differences were statistically significant(P<0. 05),and the rate of complications was less than that in control group. Conclusion The ultrasonic guidance plays an important assistant roles for PTVE,it is helpful to determine the location of portal vein and increase the paracentesis succeed ratio and speed. It is safe and deserved to be spread.
