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时间:2020-05-24
《超声引导对经皮肝胃冠状静脉栓塞术的辅助作用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·652·局解手术学杂志2013年第22卷第6期JREGANATOPERSURG,2013,Vo1.22,No.6超声引导对经皮肝胃冠状静脉栓塞术的辅助作用李劲松,张俊文,刘强(1.重庆市大足双桥经开区人民医院内二科,重庆大足400900;2.重庆医科大学附属第一医院消化内科,重庆400016)『摘要]目的探讨超声引导对经皮肝胃冠状静脉栓塞术(PTVE)治疗肝硬化上消化道出血的辅助作用。方法52例超声引导下PrrvE作为观察组,37例采用盲穿门静脉行VE作为对照组。比较2组患者穿刺成功率、穿刺时间(指确定穿刺点至导管
2、置入时间)、栓塞效果及并发症发生率。结果观察组1次穿刺成功率(73.1%)显著高于对照组(43.2%),P<0.05具有统计学意义。观察组1次穿刺成功时间(2.3±0.6)min显著低于对照组(4.2±0.8)min,P<0.05具有统计学意义。观察组栓塞成功率(100%)显著高于对照组(86.5%),P<0.05具有统计学意义。观察组并发症发生率低于对照组。结论超声引导对PTVE具有重要的辅助作用,能准确判断门静脉位置,增加了穿刺成功率,提高了穿刺速度。关键词]经皮肝胃门静脉栓塞术;超声引导;肝硬化;上消化道出血[
3、中图分类号]R657.31;R573.2[文献标识码]A[文章编号]1672—5042(2013)06-0652-02AuxiliaryefectofultrasonicguidanceforpercutaneoustranshepaticvaricesembolizationLIJing—song,ZHANGJun-wen,LIUQiang(DepartmentofMedicine,People’sHospitalofEconomic&TechnologyDevelopmentztmeofShuangqiaoinD
4、azuCounty,DazuChongqing400900)Abstract:ObjectiveToexploretheauxiliaryeffectofuhrasonicguidanceforpercutaneoustranshepaticvaricesembolization(VE)forthetreatmentofhemorrhageofuppergastrointestinalwithcirrhosis.MethodsFifty—twopatientsarrangedPTVEbyultrasonicguida
5、ncewereconsideredasobservationgroup.and37patientsarangedPTVEbyblindparacentesiswereconsideredascontrolgroup.Theparacentesissuccessratio,timeofparacentesis,resultsandrateofcomplicationsinthetwogroupswerecompared.ResultsTheachievementratioofone—timepunctureinobse
6、rvationgroup(73.1%)wassignificantlyincreasedthanthatincontrolgroup(43.25).Thedifferenceswerestatisticallysignificant(P<0.05).Thetimeofparaeentesisinobservationgroup(2.3±0.6)nfinwasshorterthanthatincontrolgroup(4.2±0.8)min.Thedifferenceswerestatisticallysignific
7、ant(P<0.05).Therateofembolizationrateinobservationgroup(100%)wasobviouslyhigherthanthatincontrolgroup(86.5%),thedifferenceswerestatisticallysignificant(P<0.05),andtherateofcomplicationswaslessthanthatincontrolgroup.ConclusionTheuhrasonicguidanceplaysanimportant
8、assistantrolesforVE.itishelpfultodeterminethelocationofportalveinandincreasetheparacentesissueceedratioandspeed.Itissafeanddeservedtobespread.Keywords:percutaneoustranshepat
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