急诊TIPS治疗肝硬化急性静脉曲张破裂出血的中长期疗效观察
Medium-long Term Efficacy of Emergency TIPS in the Treatment of Acute Variceal Bleeding Due to Cirrhosis
秦晓波1
作者信息
- 1. 重庆市忠县人民医院,重庆 404300
- 折叠
摘要
目的:分析肝硬化急性静脉曲张破裂出血患者在急诊经颈静脉肝内门体分流术(TIPS)治疗下的临床效果.方法:选取2019年1月—2021年1月重庆市忠县人民医院收治的60例肝硬化急性静脉曲张破裂出血患者作为研究对象,采用随机数表法将其分为两组,每组各30例,对照组采取经皮经肝胃冠状静脉栓塞术(PTVE)治疗,观察组采取TIPS治疗,比较两组患者的治疗总有效率、门静脉压力、肝功能指标.结果:观察组患者治疗总有效率(96.7%)高于对照组(76.7%),差异有统计学意义(χ2=5.192,P＜0.05);术后,两组患者门静脉压力均降低,且观察组患者门静脉压力低于对照组,差异有统计学意义(t=6.100,P＜0.05);术后,观察组患者TBIL、DBIL、Child-Pugh评分高于对照组,差异有统计学意义(χ2=6.286、9.412、6.837,P＜0.05).结论:肝硬化急性静脉曲张破裂出血患者通过急诊TIPS治疗,疗效确切.
Abstract
Objective:To analyze the clinical efficacy of emergency TIPS treatment in patients with acute variceal bleeding in liver cirrhosis.Methods:60 patients with acute variceal bleeding due to cirrhosis admitted to the hospital from January 2019 to January 2021 were randomly divided into two groups:the control group received PTVE treatment,and the observation group received TIPS treatment.The total effective rate,portal vein pressure and liver function indicators of the two groups of patients were compared.Results:The total effective rate of the observation group(96.7%)was higher than that of the control group(76.7%),and the difference was statistically significant(χ2=5.192,P＜0.05).After operation,the portal vein pressure in both groups was decreased,and the portal vein pressure in the observation group was lower than that in the control group,with statistically significant difference(t=6.100,P＜0.05).After operation,TBIL,DBIL and Child-Pugh scores in observation group were higher than those in control group,and the difference was statistically significant(χ2=6.286,9.412,6.837;P＜0.05).Conclusion:Patients with acute variceal rupture and bleeding in liver cirrhosis receive emergency TIPS treatment,which has definite therapeutic effect.
关键词
急诊经颈静脉肝内门体分流术/经皮经肝胃冠状静脉栓塞术/肝硬化/急性静脉曲张破裂出血/临床疗效Key words
Emergency transjugular intrahepatic portal shunt/Percutaneous transhepatogastric coronary vein embolization/Liver cirrhosis/Acute varicose hemorrhage/Clinical effect引用本文复制引用
出版年
2024
NETL
NSTL
万方数据