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目的研究NBCA栓塞治疗食道胃静脉曲张门脉压力的改变及其对术后近期肝功能的影响。材料和方法30例反复上消化道出血患者,男性25例,女性5例。应用NBCA栓塞治疗食道胃静脉曲张,测量栓塞前后门静脉压力的变化,术后1年内随访肝功能。结果栓塞术后30例患者门静脉压力由术前33.90±8.09 cmH2O上升至术后38.43±8.42 cmH2O(P<0.001)。随访期间肝功能ChildA级、Child B级患者肝功能呈好转趋势,肝功能Child C级患者预后不佳。结论NBCA栓塞治疗食道胃静脉曲张止血效果确切,术后近期肝功能(Child A级、Child B级)得到改善。
Objective To study the changes of portal pressure of esophageal and gastric varices treated with NBCA embolization and its effect on short-term postoperative liver function. Materials and Methods 30 cases of patients with repeated upper gastrointestinal bleeding, 25 males and 5 females. NBCA embolization was used to treat esophageal and gastric varices, and the change of portal vein pressure before and after embolization was measured. Liver function was followed up within one year after operation. Results The portal pressure of 30 patients after embolization increased from 33.90 ± 8.09 cmH2O preoperatively to 38.43 ± 8.42 cmH2O postoperatively (P <0.001). During follow-up liver function ChildA level, Child B level patients showed a trend of improvement in liver function, liver function Child C-class patients with poor prognosis. Conclusion NBCA embolization is effective in the treatment of gastroesophageal varices. The postoperative liver function (Child A grade, Child B grade) is improved.