摘要
肝硬化门脉高压食道胃静脉曲张破裂出血的介入放射学治疗的广泛应用已有２０多年。Ｌｕｎｄｅｒｇｕｉｓｔ和Ｖａｎｇ创用经皮经肝食道胃出血栓塞术（ＰＴＯ）和Ｒｉｃｈｔｅｒ等于１９８８年首先在临床使用经颈静脉肝内门体静脉内支架分流术（ＴＩ—ＰＳＳ）以来．取得了巨大成功。到现在ＴＩＰＳＳ已完成２０００例以上，并成为门脉高压食道周静脉曲张出血治疗的首选方法。ＴＩＰＳＳ是安全、侵袭小，适应症广且手术死亡率较外科为少。但作为Ｈ型５流术其固有的缺点有待克服。
Interventinal therapy for esophagogastric varices hemorrhage of due to portal hypertension has been widely used more than 20 years. Great success has been achieved since Lunderquist and Vang created percutaneous transhepatic obliteration of esophago-gastric hemorrhage(PTO) and Richter,et al first applied transjugular intrahepatic portosystemicd stent shunt (TIPSS) in 1988. TIPSS was performed more than 2000 cases up to date,and became the first choice of the therapy of portal hypertension esophago-gastric hemorrhage. TIPSS is a safe,less invasive with more wide indication and smaller mortality rate than surgery,but as H type shunt it has some inherent shortcomings to be overcome.
