Comparison between PTVE of TH glue embolization through gastroesophageal and percutanenous and treatment of esophageal varices by variceal ligation
- VernacularTitle:经皮经肝TH胶灌注栓塞与内镜下套扎治疗食管胃底静脉曲张的对照研究
- Author:
Weidong HAO
;
Yongqian WANG
;
Lei SUN
;
Mingjie ZHANG
;
Fenglian DAI
;
Chunqing ZHANG
- Publication Type:Journal Article
- Keywords:
Gastroesophageal varices;
TH glue;
Gastric coronary vein
- From:
Chinese Journal of Postgraduates of Medicine
2006;0(33):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the possibility and effects of fixed TH glue embolization through gastroesophageal and percutanenous. Methods Forty-six patients of bleeding esophageal varices were divided randomly into two groups: in treatment group:twenty-five patients treated with TH glue (?-cyanoacrylate) embolization PTVE+PSE. Absolute alcohol-cilia steel ring-TH glue ,but in control group, 21 patients of esophageal varices by variceal ligation. Analysis the percentage of rebleeding, death rate and improvement rate of liver functions. Results In the treatment group,the rebleeding of gastroesophageal varices was 8.7%, the percentage of death was 4.3%, the function of liver improved by 87.0% . In the control group, the percentage of rebleeding was 28.6%, death rate was in 19.1% and liver function improved by 48.0%. Conclusion PTVE+PSE fixed TH glue embolization is safe, less destroyed. Compared with dense edoscopic ligation, DEVL, the advantage is lessre bleeding, less death rate and higher liver function improvement rate. It is an effective method for gastroesophageal varices.
