[1]郭立,杨达宽,袁曙光,等.经颈静脉肝内门体静脉分流术术前MRA评价[J].介入放射学杂志,2010,(01):16-19.
 GUO Li,YANG Dakuan,YUAN Shuguang,et al.Preoperative MR angiography evaluation of transjugular intrahepatic portosystemic shunt[J].journal interventional radiology,2010,(01):16-19.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年01期
页码:
16-19
栏目:
血管介入
出版日期:
2010-01-15

文章信息/Info

Title:
Preoperative MR angiography evaluation of transjugular intrahepatic portosystemic shunt
作者:
郭立杨达宽袁曙光闫东王家平李迎春
650151昆明医学院第二附属医院放射科
Author(s):
GUO Li YANG Da-kuanYUAN Shu-guangYAN DongWANG Jia-pingLI Ying-chun
the Second Hospital Affiliated to Kunming Medical College,Kunming650151,China
关键词:
经颈静脉肝内门腔分流术磁共振血管成像评价
分类号:
R575.2
文献标志码:
A
摘要:
目的探讨磁共振血管成像(MRA)在经颈静脉肝内门体静脉分流术(TIPS)术前检查中的应用。方法对59例拟行TIPS治疗的患者行术前MRA检查,观察引起门静脉高压的病因、肝静脉及门静脉形态、走行,测量穿刺点处血管管径,并与正常对照组(50例)比较。结果门静脉高压组中单纯肝硬化49例,肝硬化合并肝癌4例,单纯门静脉血栓3例,脾静脉狭窄1例,布-加综合征2例。门静脉高压组与正常对照组肝静脉分型(3支型∶2支型∶1支型)分别为14∶39∶12、12∶34∶14;肝右静脉、肝中静脉、肝左静脉穿刺点管径符合数为52∶40∶28、46∶34∶23。门静脉右支和左支安全穿刺点分别位于(16.2±3.1)mm、(14.2±3.8)mm以远。结论MRA是一种有价值无损伤的检查方法,对TIPS术前疾病诊断及血管定位有着重要的意义

参考文献/References:

[1]王青,兰春虎,赵玲,等.经皮经肝门静脉栓塞食管胃底静脉治疗门脉高压性上消化道出血[J].介入放射学杂志,2006,15:44-45.
[2]Tripathi D,Lui H F,Helmy A,et al.Randomised cotrolled trial of long term pornographic follow up versus variceal band ligation following transjugular intrahepatic portosystemic stent shunt for preventing oesophageal variceal rebleeding[J].Gut ,2004,53:431-437.
[3]杜一江,韩国宏.经颈内静脉肝内门体分流术联合胃冠状静脉、胃短静脉栓塞治疗肝硬化食管胃底静脉曲张疗效观察[J].临床内科杂志,2007,24:531-533.
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 HAN Guohong,MENG Xiangjie,YIN Zhanxin,et al.Percutaneous transsplenic portal catheterization combined with TIPS for the treatment of portal vein thrombosis associated with cavernous transformation[J].journal interventional radiology,2009,(01):177.
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备注/Memo

备注/Memo:
收稿日期:2009-08-03
更新日期/Last Update: 2010-01-15