双介入法治疗门脉高压症的数字成像技术

• 作 者: 余建明 曾军
• 机 构: 华中科技大学同济医学院附属协和医院放射科,华中科技大学同济医学院附属协和医院放射科,华中科技大学同济医学院附属协和医院放射科 430022湖北省,430022湖北省,430022湖北省
• 出 处: 放射学实践
• 发表日期: 2002年03期
• 关键词: 门脉高压症 静脉造影 数字成像技术 介入法 胃冠状静脉 腹腔动脉造影 栓塞效果 脾栓塞术 肝硬化病人 栓塞剂

目的 :探讨双介入法治疗门脉高压症的数字成像技术。方法 :本文 2 0例肝硬化病人 ,在X线透视和B超联合导向下经皮穿刺门静脉 ,行门静脉造影和胃冠状静脉造影栓塞。同时经皮股动脉穿刺行腹腔动脉造影 ,再作脾动脉造影和部分脾脏栓塞。结果 :2 0例手术全部成功 ,均进行了胃冠状静脉和脾栓塞 ,复查DSA示栓塞效果满意。结论 :运用X线数字成像技术 ,采用双介入治疗门脉高压症是一种安全有效的治疗方法。

Objective: To explore the digital imaging technique of double interventional therapy for portal hypertension. Methods: Twenty patients with cirrhosis were percutaneously punctured with X-ray and B-ultrasound guided portal vein angiography and gastric coronary venography. At the same time percutaneous femoral artery puncture celiac artery angiography, and then for splenic artery angiography and partial splenic embolization. Results: All the 20 surgeries were successful. Gastric-coronary vein and splenic embolization were performed. DSA showed satisfactory embolization effect. Conclusion: The use of X-ray digital imaging technology, double interventional treatment of portal hypertension is a safe and effective treatment.