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TIPS治疗门静脉高压并发症预后评价的现状 被引量:18

TIPS treatment of the complications of portal hypertension:the current status of its prognostic evaluation
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摘要 经颈静脉肝内门体分流术(TIPS)已被广泛用于肝硬化门静脉高压并发症的治疗。TIPS术后增加了肝性脑病发生率,及生存较标准治疗无延长,而作为二线治疗方法。术前对患者进行评估对生存至关重要。本文就目前重要的评价TIPS预后不良的指标及模型作一综述,为临床医师选择合适的患者提供依据。 Transjugular intrahepatic portosystemic shunt(TIPS)has been increasingly used to treat the complications of portal hypertension.The main disadvantages of TIPS placement are the development of hepatic encephalopathy,and the absence of benefit in survival rate when compared with conservative therapy.Preoperative evaluation is critical to predict the long-term outcome.This review describes some important clinical variables and models that have been associated with a poor prognosis after TIPS placement.By using prognostic factors,we can identify the appropriate candidates for TIPS procedure.
出处 《介入放射学杂志》 CSCD 北大核心 2011年第3期245-248,共4页 Journal of Interventional Radiology
关键词 经颈静脉肝内门体分流术 门静脉高压 预后 生存率 transjugular intrahepatic portosystemic shunt portal hypertension prognosis survival rate
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