经颈静脉肝内门体分流术治疗肝硬化门静脉高压症的预后评估

邹松龙; 胥莹

doi:10.3969/j.issn.1001-5256.2019.01.044

经颈静脉肝内门体分流术治疗肝硬化门静脉高压症的预后评估

DOI: 10.3969/j.issn.1001-5256.2019.01.044

邹松龙,
胥莹

昆明医科大学附属第二医院消化内科

详细信息

中图分类号: R657.34
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出版历程
- 出版日期: 2019-01-20

Prognostic evaluation of transjugular intrahepatic portosystemic shunt in treatment of cirrhotic portal hypertension

Department of Gastroenterology, The Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China

摘要

摘要:
经颈静脉肝内门体分流术(TIPS)是肝硬化门静脉高压症的一项重要治疗手段,但术后肝衰竭、肝性脑病等并发症一定程度限制了TIPS的临床应用。总结了血清学指标、临床指标、评分系统等TIPS术后预后评估的研究进展及临床价值。临床可根据实际情况选择不同指标或进行综合评估,以提高患者的术后生存率。
- 门体分流术,经颈静脉肝内 /
- 肝硬化 /
- 高血压,门静脉 /
- 预后 /
- 综述
Abstract:
Transjugular intrahepatic portosystemic shunt (TIPS) is an important method for the treatment of cirrhotic portal hypertension;however, its clinical application is limited by postoperative complications such as liver failure and hepatic encephalopathy.This article summarizes and analyzes the research advances in the clinical value of serological markers, clinical indices, and scoring systems in prognostic evaluation of TIPS.Indices can be selected or comprehensive evaluation can be performed based on clinical situations, in order to improve patients’postoperative survival rate.
- portasystemic shunt, transjugular intrahepatic /
- liver cirrhosis /
- hypertension, portal /
- prognosis /
- review

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参考文献(32)

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