经颈静脉肝内门腔静脉内支架分流术治疗肝硬变门脉高压症 |
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引用本文: | 冯常炜,李振峰.经颈静脉肝内门腔静脉内支架分流术治疗肝硬变门脉高压症[J].河南医学研究,1997,6(3):234-236. |
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作者姓名: | 冯常炜 李振峰 |
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摘 要: | 目的:探讨经颈静脉肝内门腔静脉内支架分流术(TIPS)治疗肝硬变门脉高压症的技术操作、并发症及其疗效。方法:采用经颈静脉肝内门腔静脉内支架分流术,治疗5例肝炎后肝硬变门脉高压症患者,分流通道直径为10mm。结果:4例成功,术后平均门脉压力由4.46kPa(45.50 cmH_2O)降为2.13 kPa(21.75 cmH_2O),消化道出血得到控制,胸腹水明显吸收,食管静脉曲张减轻或消失,临床症状得到改善。结论:TIPS 具有创伤小、疗效确切、合并症少、适应范围广等优点,是治疗门脉高压食管、胃底静脉曲张破裂出血的一种安全、有效的方法,其长期疗效有待进一步观察。
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关 键 词: | 肝硬变 门脉 静脉曲张 门腔分流术 |
Portal Hypertention in Cirrhosis Transjugular Intraheptic Portosystemic Stent Shunt |
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Abstract: | Objective:To evaluate transjugular intrahepatic portosystemic stent shunt(TIPS)in the treatment of liver cirrhosis with portal hypertention and its technical manipulation,complication and effici- cacy.Methods:TIPS was used to treat 5 cases of liver cirrhosis with portal hypertention.The diameter of the shunt was 10 mm.Results:The average portal vein pressure significantly droped from 4.4 kPa before shunting to 2.13 kPa after shunting.Gastrointestinal bleeding and ascites were effectively controled after TIPS.Conclusion:TIPS is a safe and effective treatment for portal hypertention in liver cirrhosis.The long-term benefit of TIPS needs further follow-up. |
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Keywords: | liver cirrhosis portal vein verices portacaval shunt |
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