| TIPSS术+食道胃底静脉曲张栓塞术前后门静脉压力的变化 |
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| 引用本文： | 高长泰,郭应兴.TIPSS术+食道胃底静脉曲张栓塞术前后门静脉压力的变化[J].中国现代医药杂志,2011,13(5). |
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| 作者姓名： | 高长泰 郭应兴 |
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| 作者单位： | 青海大学附属医院介入放射科,青海西宁,810001 |
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| 摘 要： | 目的 观测肝硬化门静脉高压患者行经颈内静脉肝内门体分流术(transiugular intrahepatic portosystemic stent shunt,TIPSS)+食道胃底静脉曲张栓塞术前后门静脉压力的变化,进而探讨TIPSS+食道胃底静脉曲张栓塞术在治疗肝硬化门静脉高压中的作用.方法 对20例因肝硬化所致门静脉高压患者行经颈内静脉肝内门体分流术+食道胃底静脉曲张栓塞术,在术前、术后分别用直接法测定门静脉主干压力,比较术前、术后压力的变化.结果 术前本组肝硬化门脉高压患者的门静脉压力为(41.46±4.89)cmH2O、术后为(25.65±5.73)cmH2O,差异有显著性(P＜0.001).术前、术后压力差为(15.82±3.12)cmH2O,术后较术前门静脉压力平均下降38.13%.结论 TIPSS+食道胃底曲张静脉栓塞术可显著降低肝硬化门脉高压患者的门静脉压力,在治疗肝硬化门脉高压症中有重要的应用价值.
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| 关 键 词： | 肝硬化 门静脉高压 经颈内静脉肝内门体分流术 静脉曲张栓塞术 门静脉压力 直接法 |
Portal pressure changes before and after TIPSS + esophageal and gastric variceal embolization |
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| Gao Changtai,Guo Yingxing.Portal pressure changes before and after TIPSS + esophageal and gastric variceal embolization[J].Modern Medicine Journal of China,2011,13(5). |
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| Authors: | Gao Changtai Guo Yingxing |
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| Institution: | Gao Changtai,Guo Yingxing.Department of Interventional Radiology,The Affiliated Hospital of Qinghai University,Qinghai 810001 |
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| Abstract: | Objective To evaluate the effects of transjugular intrahepatic portosystemic stent shunt(TIPSS)+ esophageal and gastric variceal embolization in the treatment of cirrhosis and portal hypertension by analasizing portal pressure changes before and after the operashion.Methods TIPSS+ esophageal and gastric variceal embolization was performed in twenty pationts with cirrhosis and portal hypertension,the portal pressure before and after the operashion were compared.Results Mean portal pressure dropped form(41.46... |
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| Keywords: | Cirrhosis Portal hypertension Transjugular intrahepatic portosystemic stent shunt Variceal embolization Portal pressure Direct method |
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