摘要
我院采用经颈静脉肝内门体静脉分流术（ＴＩＰＳＳ）对１０３例肝硬变门脉高压症患者进行了治疗，其成功率为９５．２％。肝内门体分流建立后出血立即停止，门静脉压力下降，平均下降１．３６±０．０２ｋＰａ，胃冠状静脉和食管静脉曲张消失，脾脏缩小，腹水消退。术后１月内因急性肝功能衰竭死亡３例，再出血１例，轻度肝性脑病１０例。经１～２２个月随访，出现分流道狭窄１０例，出血和腹水复发６例。本组资料表明：ＴＩＰＳＳ是治疗门脉高压症的有效方法。
We had performed transjugular intrahepatic portosystemic stent shunt (TIPSS) in one hundred and three patients with advanced liver cirrhosis and portal hypertension from July, 1993 to January, 1995. TIPSS was carried out successfully in unity-eight out of 103 cases and the technical success rate was 95. 2%. Acute variceal bleeding was immediately controlled and portal pressure reduced by an average of 1.36±0. 02 kpa after TIPSS. The disappearance of gastric coronary and esophageal varices,the shrinkage of spleen and the reduction of ascite were observed. Three patients died of acute liver failure and one died of variceal rebleeding within 30 days of treatment. Mild encephalopthy was observed in10 cases with TIPSS. At follow-up of 1-22 months, variceal rebleeding and ascite were observed in 6 patients and stenosis of shunt was evident is 12. 5 % of cases by the subsequent doppler sonography. According to this result, TIPSS is an effective method for the treatment of portal hypertension.
