Objective To analyze the clinical efficacy of the gastric coronary vein combined with splenic artery embolization on the treatment of upper gastrointestinal bleeding of liver cirrhosis.Method 34 cases of hepatic portal hypertension with cirrhosis and severe gastric vein varicose bleeding in patients received in a hospital of Mudanjiang city were given the treatment of percutaneous transhepatic embolization of gastric coronary vein and splenic red pulp small artery embolization.During one-year follow-up after the treatment

the patients’intra-operative angiography findings

postoperative complications and clinical efficacy were analyzed.ResultsAfter the operation

34 cases showed gastric coronary vein occlusion under angiography.The follow-up showed that 29cases（85.3%）had no symptoms of upper gastrointestinal bleeding

23cases（67.6%）had no varices performance

4cases（11.8%）had recurrent varices

2cases（5.9%）relapsed gastric bleeding and hypersplenism in all the patients improved significantly.Conclusion The treatment of gastric coronary vein combined with splenic artery embolization on upper gastrointestinal bleeding of liver cirrhosis can effectively control gastrointestinal bleeding and improve hypersplenism with few complications and low recurrence

worthy of further promotion and application.