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目的观察经皮经肝胃冠状静脉栓塞术(PTVE)治疗食管胃底静脉曲张破裂出血疗效。方法将食管胃底静脉曲张破裂出血51例,随机分成治疗组和对照组。治疗组采用经皮经肝胃冠状静脉栓塞术(PTVE)进行治疗,对照组采用内科综合治疗。观察治疗前后二组患者有效率及近期再出血复发率。结果总有效率:治疗组为100%,对照组为53.85%。(P<0.01)总再出血率治疗组为16%,对照组为42.31%。(P<0.05)。结论经皮经肝胃冠状静脉栓塞术治疗食管胃底静脉曲张破裂出血较内科综合治疗具有创伤小,有效率高、近期再出血率低的优点。
Objective To observe the efficacy of percutaneous transhepatic coronary vein thrombolysis (PTVE) in the treatment of esophageal variceal bleeding. Methods Fifty-one patients with esophageal variceal bleeding were randomly divided into treatment group and control group. The treatment group was treated by percutaneous transhepatic coronary vein thrombosis (PTVE), while the control group was treated by internal medicine. Observed before and after treatment in two groups of patients with effective rate and recurrence rate of recent bleeding. The total effective rate was 100% in the treatment group and 53.85% in the control group. (P <0.01) The total rebleeding rate was 16% in the treatment group and 42.31% in the control group. (P <0.05). Conclusion Percutaneous transhepatic coronary vein thrombolysis has the advantages of less trauma, higher efficiency and lower rate of recent rebleeding than the comprehensive medical treatment of esophagogastric variceal bleeding.