| 经颈静脉肝内门体分流术穿刺点的研究 |
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| 引用本文： | 刘士辰,易习之,张金山,王茂强,杨立.经颈静脉肝内门体分流术穿刺点的研究[J].中国医学影像学杂志,1995,3(3):141-145. |
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| 作者姓名： | 刘士辰 易习之 张金山 王茂强 杨立 |
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| 作者单位： | 第三军医大学新桥医院放射科，解放军总医院放射科 |
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| 摘 要： | 为明确ＴＩＰＳＳ的最佳穿刺点，本文对正常肝脏和肝硬变患者各５０例的肝脏的ＭＲＩ或ＣＴ增强扫描图像进行了研究，并依此建立了空间直角坐标系。在该坐标系中，测量了肝静脉及肝内门静脉各主支的管径，计算了穿刺点间距离及穿刺角度，提出了最佳穿刺点，并初步用于临床。本方法和结果对指导ＴＩＰＳ操作有重要意义。
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| 关 键 词： | 门脉系统分流术．外科 颈静脉 穿刺术 方法 磁共振 断层摄影术．X线计算机 |
Study of Puncture Sites in Transjugular Intrahepatic Portosystemic Shunt(TIPS) |
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| Liu Shichen, Yi Xizhi, Zhang Jinshan, Wang Maoqing, Yang Li.Study of Puncture Sites in Transjugular Intrahepatic Portosystemic Shunt(TIPS)[J].Chinese Journal of Medical Imaging,1995,3(3):141-145. |
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| Authors: | Liu Shichen Yi Xizhi Zhang Jinshan Wang Maoqing Yang Li |
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| Abstract: | To define the most appropriate puncture sites of TIPS, the spatial rectangular coordinate system was established with MR imaging or CT contrast enhancement scan films of liver.In 50 cases of cirrhosis and 50 cases of normat liver, we measured the diameters of the main branches of hepatic veins and intrahepatic portal veins, calculated the distances and the longitudinal and crosswise angles of puncture between them, studied the affect of these factors in puncturing from hepatic veins to intrahepatic portal veins in TIPS. In addition, TIPS was successfully performed in 5 patients using the results of measurement.Our study revealed that the method and results are important to guide the procedure of TIPS. |
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| Keywords: | portosystemic shunt surgical jugular veins punctures method magnetic resonance tomography X-ray computed |
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