摘要
目的探讨采用Fluency自膨胀覆膜支架,行经颈静脉肝内门体静脉支架分流术(TIPS)治疗食管静脉曲张破裂出血的效果。资料与方法对20例患者采用Fluency自膨胀覆膜支架行TIPS及食管胃底静脉栓塞术,18例成功建立分流道,2例因严重并发症未成功。结果门静脉压力明显降低,术前平均门静脉压梯度(27.11±4.86)cm H2O,术后平均门静脉压梯度(17.13±3.81)cm H2O,控制出血近期有效率为100%,再出血率为16.7%。术后血像明显改善,上消化道出血停止,腹水吸收明显。结论采用Fluency自膨胀覆膜支架行TIPS治疗门静脉高压性上消化道出血具有重要的临床实用价值。
Objective To evaluate the value of transjugular intrahepatic portosystemic stent-shunt （TIPS） in the prevention of variceal rebleeding. Material and Methods 20 cases who required TIPS to prevent oesophageal variceal rebleeding were embolismed, 18 cases successively established shunt way, 2 cases failed because of the serious complications. Results The portal pressure was obviously lower, before TIPS average portal pressure （27. 11 ± 4.86）cm H2O, post-TIPS average portal pressure （ 17.13 ±3.81 ）cm H2O, the controlled bleeding is efficient for 100% in the near future, again bleed to 16.7%. Post-TIPS blood-cell level was changed obviously, active bleed stopped, ascites absorbed obviously. Conclusion TIPS treatment of the top alimentary canal bleed of the portal hypertension have very greatly clinical practical value.
出处
《临床放射学杂志》
CSCD
北大核心
2009年第2期250-253,共4页
Journal of Clinical Radiology
关键词
门体分流术
经颈静脉肝内
食管和胃静脉曲张
栓塞
Transjugular intrahepatic portosystemic stent shunt Oesophageal variceal Emblisom
