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Evaluation Of The Prognosis Of TH Glue And The Prostecditive Efficacy After Percutaneous Transhepatic Varices Embolization

Posted on:2011-02-10Degree:MasterType:Thesis
Country:ChinaCandidate:S D WangFull Text:PDF
GTID:2144360305951607Subject:Internal Medicine
Abstract/Summary:PDF Full Text Request
Objective:To evaluate the prognosis of the TH glue and the prostecditive efficacy after percutaneous transhepatic varices embolizationby endoscopy and CT scanning.Methods:TH glue was injected into esophageal and gastric varices and their feeder veins in130 patients.106 patients were followed-up for evaluating the rate of re-bleeding,and 22 patients of their were followed-up for endoscopy and CT. These 22 patients need endoscopy at 1 to 2 weeks,2 to 4 weeks,1month to 3 months and 6 months after the procedure,and need CT at 3 months and 6-12 months after the procedure.Results:The endoscopy was performed at 1-2 weeks(no changes,no Foreign Body Batchingout.),2-4weeks (21 patients'mucosa turning to ulcer and appear Foreign Body Batchingout,or F1 appearance, 1patient no change), 1-3month(the black TH glude of 20 patients' mucosa turning to be out and the mucosa turning smooth,the varices turn to disappear or F1), and 6 months after the procedure(the esophageal and gastric mucosa of 15 patients were smoonth,no TH glue,but the esophageal mucosa of 7 patients were pigmentation macularis multiplex),by the CT performed at 3 months and 6-12 months after the procedure,we know that the TH glue in the esophageal and gastric varices decreased, while the TH glue kept staying in the paraesophageal veins and para-gastric fudus veins during the follow-up. And no vessel recurrent. Conclusion:The TH glue in the esophageal and gastric varices decreased, while the TH glue kept staying in the paraesophageal veins and para-gastric fudus veins during the follow-up. This result can't be explained completely by Foreign Body Batchingout. The inflammation and fibrosis of esophageal and gastric mucosa is the premise of disappearing of varies. while the TH glue kept staying in the paraesophageal veins and para-gastric fudus veins prevent rebleeding. The relapse rate after percutaneous transhepatic varices embolization is closely related to obliteration range.
Keywords/Search Tags:percutaneous transhepatic, varices, TH glue, CT, endoscopy
PDF Full Text Request
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