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Hepatorenal syndrome 被引量:14
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作者 Sharon Turban Paul J Thuluvath Mohamed G Atta 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第30期4046-4055,共10页
Hepatorenal syndrome (HRS) is a "functional" and reversible form of renal failure that occurs in patients with advanced chronic liver disease. The distinctive hallmark feature of HRS is the intense renal vas... Hepatorenal syndrome (HRS) is a "functional" and reversible form of renal failure that occurs in patients with advanced chronic liver disease. The distinctive hallmark feature of HRS is the intense renal vasoconstriction caused by interactions between systemic and portal hemodynamics. This results in activation of vasoconstrictors and suppression of vasodilators in the renal circulation. Epidemiology, pathophysiology, as well as current and emerging therapies of HRS are discussed in this review. 展开更多
关键词 Acute renal failure End stage liver disease Hepatorenal syndrome Transjugular intrahepatic portosysternic shunts DIALYSIS Liver transplantation
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声触诊组织量化技术无创评价经颈静脉肝内门-腔分流术疗效的可行性研究 被引量:2
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作者 张明琼 冉海涛 +2 位作者 叶小萍 朱叶锋 张大志 《中华超声影像学杂志》 CSCD 北大核心 2013年第5期402-405,共4页
目的探讨声触诊组织量化(virtual touch tissue quantification,VTQ)技术无创评价经颈静脉肝内门-腔分流术(transjugular intrahepatic portosystemic stent shunt,TIPSS)疗效的可行性。方法应用VTQ技术对24例肝硬化门静脉高压预... 目的探讨声触诊组织量化(virtual touch tissue quantification,VTQ)技术无创评价经颈静脉肝内门-腔分流术(transjugular intrahepatic portosystemic stent shunt,TIPSS)疗效的可行性。方法应用VTQ技术对24例肝硬化门静脉高压预行TIPSS分流术患者分别测量手术前后肝、脾剪切波速度(shear wave velocity,SWV);并于手术时测量门静脉压力(portosystemic pressure gradient,PPG);比较手术前后肝、脾SWV值的变化及与PPG的相关性。同时对14例患者进行术后1个月的随访。结果PPG和睥SWV值在手术前为(27,87±4,68)mmHg和(3.49±0.40)m/s,术后为(16.46±3.76)mmHg和(3.08±0.39)m/s,两者的差异均有统计学意义(P均〈0.05);肝swV值在手术前后的差异无统计学意义(P=0.130)。脾swV值与PPG呈高度正相关(r=0.602,P=0.000);肝swV值与PPG无相关性(r=0.154,P=0.296)。14例随访患者术前、术后1周、术后1个月的脾swV值两两比较差异均有统计学意义(P均〈0.05);而肝swV值两两比较差异均无统计学意义(P均〉0.05)。结论VTQ技术测量的脾swV值可用于定量监测TIPSS分流术前后门静脉压力的变化,无创评价手术疗效,但目前还未发现肝SwV值可以用于评价其手术疗效。 展开更多
关键词 超声检查 门-体分流术 经颈静脉肝内 高血压 门静脉 声触诊组织量化
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