经颈静脉肝内门体分流术研究进展及其在肝硬化门静脉高压治疗中的应用

肖江强; 诸葛宇征

doi:10.3969/j.issn.1001-5256.2016.02.006

经颈静脉肝内门体分流术研究进展及其在肝硬化门静脉高压治疗中的应用

DOI: 10.3969/j.issn.1001-5256.2016.02.006

南京大学医学院附属鼓楼医院

详细信息

中图分类号: R575.2
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出版历程
- 收稿日期: 2015-12-11
- 出版日期: 2016-02-20

Advances in transjugular intrahepatic portosystemic shunt and its application in treatment of cirrhotic portal hypertension

The Affiliated Drum Tower Hospital of Nanjing University Medical School

摘要

摘要:
近年来,随着基础研究及临床应用的进步,经颈静脉肝内门体分流术(TIPS)的成功率明显提高,支架再狭窄率及术后肝性脑病的发生率亦得到控制。结合笔者临床实践及国内外大会热点,就TIPS相关技术进展及其在肝硬化中的应用进行介绍,主要包括TIPS穿刺辅助技术、TIPS支架、TIPS相关肝性脑病及防治以及TIPS适应证和禁忌证、TIPS在肝硬化中解决的问题、肝硬化食管胃底静脉曲张破裂出血治疗中TIPS相对于其他治疗方法的优缺点。以期为TIPS更好的发展作一点贡献,让更多肝硬化患者获益。
- 肝硬化 /
- 门静脉高压 /
- 门体分流术,经颈静脉肝内 /
- 食管胃底静脉曲张
Abstract:
In recent years,with the development in basic research and clinical application,the success rate of transjugular intrahepatic portosystemic shunt( TIPS) has been increased significantly,and stent restenosis rate and the incidence of postoperative hepatic encephalopathy have been controlled. With reference to the authors' clinical practice and hot topics of conferences at home and abroad,this article introduces the advances in TIPS- related techniques and their application in liver cirrhosis,including TIPS puncture technique,TIPS stent,TIPS- related hepatic encephalopathy and its prevention and treatment,TIPS indications and contraindications,the issues solved by TIPS in liver cirrhosis,and the advantages and disadvantages of TIPS in the treatment of esophagogastric variceal bleeding compared with other therapeutic methods,in order to make contributions to the development of TIPS and bring more benefits to patients with liver cirrhosis.
- liver cirrhosis /
- portal hypertension /
- portasystemic shunt,transjugular intrahepatic /
- esophageal and gastric varices

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参考文献(22)

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