Hemodynamic Analysis of Portal Hypertension and Clinical Application of the Vascular Pattern of the Lower Esophagus

1989年，我们报告了选择性胃左静脉造影术对食道下段血管构筑的分类：栅栏型和杆型。通过对1200例食道静脉曲张患者的临床特点、经皮肝穿门脉造影、胃镜检查、彩色多普勒超声、无创测量食道静脉曲张压力等方面的研究，探讨食道下段血管构型的临床意义。杆状型食道静脉曲张对硬化治疗耐药，治疗后易复发，尤其是“巨杆型”食道静脉曲张应考虑作为硬化治疗与Hosa‘s手术相结合的治疗方法。

We reported an angioarchitectural classification of the lower esophagus by a selective left gastric venography in 1989; palisading and bar types. The purpose of this project was to investigate the clinical significance of the vascular pattern of the lower esophagus.We examined the clinical characteristics, percutaneous trans-hepatic portography, endoscopic findings, color doppler echography, and non-invasive esophageal variceal pressure measurement and so on in 1,200 patients with esophageal varices. The bar type of the esophageal varices was likely to be resistent to sclerotherapy and easily to recur after the treatment, especially "giant-bar type" esophageal varices should be considered a combined therapy of sclerotherapy with Hassab's operation.