超声内镜引导下弹簧圈置入联合组织胶注射治疗合并胃-肾分流/脾-肾分流的胃底静脉曲张出血疗效研究
Endoscopic ultrasound-guided coil placement combined with tissue glue injection in the treatment of gastric variceal bleeding with gastrorenal shunt/splenorenal shunt
张政 1赵海英 2魏红涛 2李鹏2
作者信息
- 1. 首都医科大学附属北京友谊医院超声医学科,北京 100032
- 2. 首都医科大学附属北京友谊医院消化分中心,北京 100032
- 折叠
摘要
目的 探索超声内镜(EUS)引导下弹簧圈置入联合组织胶注射治疗合并胃-肾分流/脾-肾分流(GRS/SRS)的胃底静脉曲张出血的有效性和安全性.方法 回顾性分析2017年12月至2023年5月期间,于首都医科大学附属北京友谊医院接受上述治疗患者的止血成功率、再出血率、异位栓塞率等.结果 共48例患者纳入研究,男女比例为20:28,平均年龄62.7(39.0～71.0)岁;其中伴有GRS 15例,伴有SRS 29例,GRS合并SRS 4例;分流通道最大直径平均为1.5 cm,最短直径平均为0.7 cm;操作成功率为100％,止血成功率为97.9％;弹簧圈平均直径11.3 mm,平均置入1.3个;组织胶平均注射量为6.3 mL;平均随访2.9年,再出血比例为18.8％,异位栓塞发生率为4.2％.结论 EUS引导下弹簧圈联合组织胶治疗合并GRS/SRS的胃底静脉曲张出血效果良好,并发症发生率低.
Abstract
Objective To explore the effectiveness and safety of EUS-guided coil placement combined with glue injection in the treatment of gastric varicose bleeding combined with GRS/SRS.Methods The hemostasis success rate,rebleeding rate,and ectopic embolization rate of the above patients in Beijing Friendship Hospital,Capital Medical University from December 2017 to May 2023 were retrospectively analyzed.Results A total of 48 patients were included in the study,with a male-female ratio of 20:28,and an average age of 62.7(39.0-71.0)years.Among them,15 patients had GRS,29 patients had SRS,and 4 patients had GRS combined with SRS.The average maximum diameter of the shunt channel was 1.5 cm,and the average minimum diameter was 0.7 cm.The operation success rate was 100％,and the hemostasis success rate was 97.9％.The average diameter of the coil was 11.3 mm,and the average number of coils inserted was 1.3.The average injection volume of tissue glue was 6.3 mL.The average follow-up was 2.9 years,the rebleeding rate was 18.8％,and the incidence of ectopic embolism was 4.2％.Conclusion EUS-guided coil combined with tissue glue has a good effect on the treatment of gastric varicose bleeding combined with GRS/SRS,and the incidence of complications is low.
关键词
胃底静脉曲张出血/超声内镜引导下弹簧圈置入/胃-肾分流/脾-肾分流/异位栓塞Key words
gastric varicose bleeding/EUS-guided coil placement/gastrorenal shunt/spleen-renal shunt/ectopic embolism引用本文复制引用
基金项目
北京市医院管理中心"登峰"人才培养计划(DFL20220101)
出版年
2024
国家科技期刊平台
NSTL
万方数据