| 改良经颈静脉肝内门-体分流术治疗症状性慢性门静脉血栓 |
| |
| 引用本文： | 荆剑,白旭明,顾星石,程龙,原强,靳勇.改良经颈静脉肝内门-体分流术治疗症状性慢性门静脉血栓[J].中国介入影像与治疗学,2017,14(2):69-73. |
| |
| 作者姓名： | 荆剑 白旭明 顾星石 程龙 原强 靳勇 |
| |
| 作者单位： | 苏州大学附属第二医院介入治疗科, 江苏 苏州 215004,苏州大学附属第二医院介入治疗科, 江苏 苏州 215004,苏州大学附属第二医院介入治疗科, 江苏 苏州 215004,苏州大学附属第二医院介入治疗科, 江苏 苏州 215004,苏州大学附属第二医院介入治疗科, 江苏 苏州 215004,苏州大学附属第二医院介入治疗科, 江苏 苏州 215004 |
| |
| 摘 要： | 目的探讨超声引导经皮肝穿刺门静脉造影辅助经颈静脉门-体分流术(TIPS)治疗症状性慢性门静脉血栓的临床疗效。方法选取14例症状性慢性门静脉血栓患者,术前进行腹部增强CT或MRI评估门静脉血栓,采用改良TIPS术并置入溶栓管溶栓。结果改良TIPS成功率100%,患者腹痛腹胀症状均有明显缓解,门静脉血流再通,部分血栓完全消失。门静脉压力由术前(30.36±1.78)mmHg(1mmHg=0.133kPa)下降至术后(19.00±3.55)mmHg,差异有统计学意义(t=17.85,P0.05);门静脉内径由术前(16.07±2.06)mm恢复至术后(13.36±2.24)mm,差异有统计学意义(t=3.34,P0.05)。结论改良TIPS术治疗慢性门静脉广泛血栓安全、可行。
|
| 关 键 词： | 经颈静脉肝内门-体分流术 门静脉血栓 门静脉高压 |
| 收稿时间： | 2016/8/25 0:00:00 |
| 修稿时间： | 2016/12/18 0:00:00 |
Improved transjugular intrahepatic portosystemic shunt in treatment of symptomatic chronic portal vein thrombosis |
| |
| JING Jian,BAI Xuming,GU Xingshi,CHENG Long,YUAN Qiang and JIN Yong.Improved transjugular intrahepatic portosystemic shunt in treatment of symptomatic chronic portal vein thrombosis[J].Chinese Journal of Interventional Imaging and Therapy,2017,14(2):69-73. |
| |
| Authors: | JING Jian BAI Xuming GU Xingshi CHENG Long YUAN Qiang and JIN Yong |
| |
| Institution: | Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China,Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China,Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China,Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China,Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China and Department of Interventional Radiology, the Second Affiliated Hospital of Soochow University, Suzhou 215004, China |
| |
| Abstract: | Objective To evaluate the clinical efficacy of improved transjugular intrahepatic portosystemic shunt (TIPS) by ultrasound guided percutaneous portal vein puncture for treatment of symptomatic chronic portal vein thrombosis. Methods Totally 14 patients with symptomatic chronic portal vein thrombosis were enrolled, and the portal vein thrombosis were assessed by preoperative abdominal CT or MRI. All of them underwent improved TIPS with implantation of thrombolytic tube. Results The success rate of improved TIPS was 100%. The symptomatic abdominal pain and abdominal distention were significantly alleviated, portal vein flow showed patency and part thrombus were completely disappeared. Portal vein pressure decreased significantly in response to the therapy (before30.36±1.78]mmHg1 mmHg=0.133 kPa] vs after19.00±3.55]mmHg, t=17.85, P<0.05) and the diameter improved significantly (before16.07±2.06]mm vs after13.36±2.24]mm, t=3.34, P<0.05). Conclusion Improved TIPS for treatment of chronic portal vein thrombosis is a safe and feasible method. |
| |
| Keywords: | Transjugular intrahepatic portosystemic shunt Portal vein thrombosis Portal hypertension |
| 本文献已被 CNKI 等数据库收录！ |
| 点击此处可从《中国介入影像与治疗学》浏览原始摘要信息 |
| 点击此处可从《中国介入影像与治疗学》下载免费的PDF全文 |
|
