| 直接性肝内门腔分流治疗门脉高压症的中期疗效 |
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| 引用本文： | 罗剑钧,颜志平,王建华,刘清欣,瞿旭东.直接性肝内门腔分流治疗门脉高压症的中期疗效[J].介入放射学杂志,2009,18(8):576-580. |
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| 作者姓名： | 罗剑钧 颜志平 王建华 刘清欣 瞿旭东 |
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| 作者单位： | 上海复旦大学附属中山医院放射科,200032 |
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| 摘 要： | 目的 回顾性分析直接性肝内门腔分流术(DIPS)治疗门脉高压症的中期疗效.方法 对23例门脉高压患者实施DIPS术;分别对术前、术后患者门腔压力梯度(PPG)、肝功能及临床症状进行比较;并用彩色多普勒超声对患者分流道的通畅情况进行随访.结果 23例DIPS术均获成功,除1例患者术后出现血性腹腔积液,3例患者术后出现轻度肝性脑病以外,其余患者未发生严重并发症.23例患者的PPG由术前的(32.6±5.3)mmHg(23～43 mmHg)降至分流后的(10.1±2.7)mmHg(5～14 mmHg)(P<0.01);术后患者白蛋白水平较术前明显下降,胆红素水平较术前明显升高,临床症状改善显著;术后1、2年分流道累计一期通畅率分别为77.4%、50.2%.结论 直接性肝内门腔分流治疗门脉高压安全、有效.
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| 关 键 词： | 门腔分流术 门脉高压 评价研究 |
Mid-term effect of direct intrahepatic portosystemic shunt for the treatment of portal hypertension |
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| LUO Jian-jun,YAN Zhi-ping,WANG Jian-hua,LIU Qing-xin,Qu Xu-dong.Mid-term effect of direct intrahepatic portosystemic shunt for the treatment of portal hypertension[J].Journal of Interventional Radiology,2009,18(8):576-580. |
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| Authors: | LUO Jian-jun YAN Zhi-ping WANG Jian-hua LIU Qing-xin Qu Xu-dong |
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| Institution: | LUO Jian-jun,YAN Zhi-ping,WANG Jian-hua,LIU Qing-xin,QU Xu-dong. Department of Radiology,Zhongshan Hospital,Fudan University,Shanghai 200032,China |
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| Abstract: | Objective To retrospectively analyze the mid-term clinical results of direct intrahepatic portosystemic shunt (DIPS) in treating patients with portal hypertension. Methods DIPS were created in 23 patients with portal hypertension. Both preoperative and postoperative portal systemic pressure gradient (PPG), liver function and clinical symptoms were recorded and compared. Shunt patency was checked by color Doppler ultrasonography and the data were statistically analyzed by Kaplan-Meier method. Results DIPS cr... |
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| Keywords: | portosystemic shunt portal hypertension estimate study |
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