Tipss And Esophageal Varicose Vein Embolization Of Eundic Preoperative Portal Vein Pressure After The Research

Objective By the direct method for measuring the liver cirrhosis portal hypertensionhemorrhage patients improved method of line of internal jugular vein liver insidePortal-bodybypasssurgery(transjugularintrahepaticportosystemicstentshunt,TIPSS)portalveinpressure,splitbeforeshuntportalveinpressure,purelineafteresophagealvaricoseveinembolizationoffundicportalveinpressure,before)portalveinpressure,and then discusses the portal hypertension patients were done improved TIPSS andesophageal varicose vein embolization for enemy before the pressure change after,preliminaryexplorationsummaryoftheportalhypertensionbleedingriskcriticalvalue,TIPSS+thestomachesophagusvaricosityembolizationinthetreatmentoflivercirrhosisportal hypertension in the role.Materials and methods:The research object for December2009-2011February20casesof liver cirrhosis between the portal hypertension and hemorrhage occurs line TIPSS+esophageal varicose veins of fundic embolization of the patients, the male11cases,female9cases. Age27-74years old, average (52.1±11.14years old. After the secondliver cirrhosis in15cases, after2cases of hepatitis c liver cirrhosis, liver fromfree in2cases, alcoholic cirrhosis in1. All of the patients the virology check, bothby CT, B ultrasonic and (or) an MRI have typical imaging the image, the upper and (or)BeiCan check all have the stomach esophagus varicosity. One had done the endoscopicrubber and hardening healers in4,4cases for emergency line performer. All volunteersare informed agreement signed.Statistics processing with SPASS17.0statistical software, statistical shunt waybeforetheportalveinpressuresetupanaverage;Aftertheestablishmentoftheportalveinbypasswayaveragepressure;Moreestablished,tosetupthewaybeforeshuntportalvein pressure after the decline for statistical significance; More simple line at theend of the stomach esophagus varicosity embolism portal vein pressure after the change of preoperative have statistically significant (sample T test match, P <0.05fordifference have significant); Before and after the shunt statistics shunt portal veinpressure drop and the average percentage decline; Is not bleeding group and bleedingportalveinpressuredifferenceofwithoutstatisticalsignificance(twosamplet-test,P <0.05for difference have significant). All are made of the average duration of±standard deviation said.Result Preoperative the liver cirrhosis portal hypertension patients with bleedingby the direct method of measured before shunt (i.e. varicose vein embolization stomachbefore the portal vein pressure for (41.33±4.98cmH2O; After bypass for (25.68±5.70cmH2O, difference dosignificantly(P<0.001).Establishshuntchannelbeforeandafter the pressure difference for (15.65±3.25cmH2O, portal vein pressure wereimproved after an average37.87%decline. Pure line at the end of the stomach esophagusvaricosity embolism preoperative, portal vein pressure after value added (3.93±0.88cmH2O, significant difference (P <0.001); Not bleeding group and bleeding groupdifference have significant (t=3.1592, P <0.005); The portal hypertension happen therisk of bleeding for value (41.33±4.98cmH2O.Conclusion With its anatomy portal vein of the particularity of (i.e. both ends forcapillary, and are buried in the deep organs) in clinical practical work can not tonon-inasie method directly measuring the real portal vein pressure. This project wasdirectly involved in using the method for measuring the portal hypertension patientswith liver cirrhosis portal vein pressure and bleeding shunt thrombosis afterintervention before, before the portal vein pressure after than traditional measurehepatic vein wedge pressure, color doppler calculation portal vein pressure is moreobjectiveandreliable;Theportalhypertensionpatientsobtaineddoimprovementwasthestomach esophagus TIPSS and varicosis vein thrombosis after the changes of pressurebefore, an objective evaluation of the stomach esophagus TIPSS+of varicose veins inthe treatment of liver cirrhosis portal vein embolization of high pressure effect; Notbleeding group and bleeding group difference was significant, preliminary explorationsummarizes the portal hypertension bleeding risk for critical value (41.33±4.98 cmH2O.