Medium-long Term Efficacy of Emergency TIPS in the Treatment of Acute Variceal Bleeding Due to Cirrhosis
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.
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