[1]李伟之,郑君仪,于 颖,等.三维打印辅助TIPS治疗肝硬化食管胃底静脉曲张出血[J].介入放射学杂志,2019,28(08):730-733.
　LI Weizhi,ZHENG Junyi,YU Ying,et al.3D printing- assisted TIPS for the treatment of cirrhotic esophagogastric variceal hemorrhage [J].journal interventional radiology,2019,28(08):730-733.
点击复制

三维打印辅助TIPS治疗肝硬化食管胃底静脉曲张出血()

PDF下载中关闭

分享到：

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年08期
页码:
730-733
栏目:
血管介入
出版日期:
2019-08-25

文章信息/Info

Title:
3D printing- assisted TIPS for the treatment of cirrhotic esophagogastric variceal hemorrhage
作者:
李伟之;  郑君仪;  于 颖;  刘梦莹;  李培杰;  马富权;  薛 挥
Author(s):
LI Weizhi;  ZHENG Junyi;  YU Ying;  LIU Mengying;  LI Peijie;  MA Fuquan;  XUE Hui.
Department of Gastroenterology， First Affiliated Hospital of Xi’an Jiaotong University， Xi’an， Shaanxi Province 710061， China
关键词:
【关键词】 肝硬化;  门静脉高压症;  经颈静脉肝内门体分流术;  三维打印
文献标志码:
A
摘要:
【摘要】 目的 探讨三维打印辅助经颈静脉肝内门体分流术（TIPS）治疗肝硬化食管胃底静脉曲张出血的临床价值。方法 30例肝硬化伴食管胃底静脉曲张出血患者随机分为病例组（n=15）和对照组（n=15）。病例组患者术前接受肝脏CT薄层扫描和门静脉系统CT静脉造影（CTV），根据扫描数据按1∶1打印肝脏血管模型，进行体外模拟穿刺，并调整RUPS-100型经颈静脉肝内穿刺系统穿刺针角度，制定最佳穿刺路径后行TIPS；对照组患者术前接受肝脏CT薄层扫描和门静脉系统CTV检查，凭经验行TIPS。比较两组术中穿刺针数、时长、穿刺成功率和穿刺相关并发症发生率。结果 两组穿刺成功率均为100%。病例组穿刺针数、时长、穿刺相关并发症发生率均低于对照组，差异均有统计学意义（P＜0.05）。结论 三维打印辅助TIPS可减少穿刺次数，缩短穿刺时间，降低穿刺相关并发症发生率。

参考文献/References:

［1］ Richter GM， Noeldge G， Palmaz JC， et al. Transjugular intrahepatic portacaval stent shunt： preliminary clinical results［J］. Radiology， 1990， 174 （3 Pt 2）： 1027- 1030.
［2］ Heinzow HS， Lenz P， Koehler M， et al. Clinical outcome and predictors of survival after TIPS insertion in patients with liver cirrhosis［J］. World J Gastroenterol， 2012， 18： 5211- 5218.
［3］ 唐世伟， 赵新建， 王忠敏，等． TIPS对比EBL治疗肝硬化食管静脉曲张出血Meta分析［J］． 介入放射学杂志， 2016， 25： 761- 765．
［4］ Gaba RC， Parvinian A， Casadaban LC， et al. Survival benefit of TIPS versus serial paracentesis in patients with refractory ascites： a single institution case- control propensity score analysis［J］. Clin Radiol， 2015， 70： e51- e57.
［5］ 中华医学会消化病学分会消化介入学组． 经颈静脉肝内门体静脉分流术治疗肝硬化门静脉高压共识意见［J］． 临床肝胆病杂志， 2014， 30： 210- 213．
［6］ Boyer TD， Haskal ZJ， American Association for the Study of Liver Diseases. The role of transjugular intrahepatic portosystemic shut（TIPS）in the management of portal hypertension: update 2009［J］. Hepatology， 2010， 51：306.
［7］ 李名安， 姜在波， 单 鸿， 等． 经皮经肝肝内门体分流术的手术方法与临床应用［J］． 中华介入放射学电子杂志， 2014， 2：1- 4．
［8］ Tsauo J， Luo X， Ye L， et al. Three- dimensional path planning software- assisted transjugular intrahepatic portosystemic shunt： a technical modification［J］. Cardiovasc Intervent Radiol， 2015， 38： 742- 746.
［9］ Ketelsen D， Groezinger G， Maurer M， et al. Three- dimensional C- arm CT- guided transjugular intrahepatic portosystemic shunt placement： feasibility， technical success and procedural time［J］. Eur Radiol， 2016， 26： 4277- 4283.

相似文献/References:

[1]王 磊,刘福全,岳振东,等. 应用介入技术建立猪肝硬化门脉高压模型的实验研究[J].介入放射学杂志,2012,(09):756.
　WANG Lei,LIU Fu- quan,YUE Zhen- dong,et al. The establishment of liver cirrhosis along with portal hypertension model in experimental pigs by using interventional technique[J].journal interventional radiology,2012,(08):756.
[2]何创业,祁兴顺,帖 君,等.经颈内静脉肝内门体分流术联合封堵器封堵治疗肝硬化门脉高压伴自发性脾、胃-肾分流[J].介入放射学杂志,2013,(10):801.
　HE Chuang? ye,QI Xing? shun,TIE Jun,et al. Transjugular intrahepatic portosystemic shunt combined with Amplatzer plugging device therapy for cirrhotic portal hypertension with spontaneous spleno?蛳 gastric?蛳 renal shunt[J].journal interventional radiology,2013,(08):801.
[3]李茂美,程永德,朱西琪.两种不同脾栓方法后门脉压力变化对照研究[J].介入放射学杂志,2014,(10):861.
　LI Mao mei,CHENG Yong de,ZHU Xi qi..Portal pressure changes after partial splenic embolization： comparison study between two embolization methods[J].journal interventional radiology,2014,(08):861.
[4]李松蔚,张 捷,闫 东,等.多层螺旋CT及其门静脉造影在TIPS联合胃冠状静脉栓塞术前应用价值[J].介入放射学杂志,2015,(06):476.
　LI Song- wei,ZHANG Jie,YAN Dong,et al.The preoperative application of MSCT and MSCTP in performing TIPS combined with gastric coronary vein embolization[J].journal interventional radiology,2015,(08):476.
[5]刘 新,李奋强,沈世林*,等.TIPS治疗肝硬化乳糜腹水1例[J].介入放射学杂志,2016,(12):1072.
　LIU Xin,LI Fen- qiang,SHEN Shi- lin,et al.Successful treatment of cirrhosis- related chylous ascites with transjugular intrahepatic portosystemic shunt therapy： report of one case[J].journal interventional radiology,2016,(08):1072.
[6]苗同国,褚建国,黄 鹤,等.经颈静脉肝内门静脉左支门体分流中支架位置对远期疗效的影响 [J].介入放射学杂志,2017,(04):299.
　MIAO Tongguo,CHU Jianguo,HUANG He,et al.The influence of the stent position in transjugular intrahepatic left branch of portal vein portosystemic shunt on the long- term effect[J].journal interventional radiology,2017,(08):299.
[7]丁 远,王黎洲,宋 杰,等.细胞色素P450酶2C19基因多态性对TIPS术后患者服用氯吡格雷效果的影响 [J].介入放射学杂志,2017,(07):588.
　DING Yuan,WANG Lizhou,SONG Jie,et al.The influence of CYP2C19 gene polymorphism on the curative effect of clopidogrel in patients after receiving TIPS[J].journal interventional radiology,2017,(08):588.
[8]张 铠,赵 卫.TIPS联合胃冠状静脉栓塞治疗肝硬化门静脉高压伴上消化道出血[J].介入放射学杂志,2017,(07):601.
　ZHANG Kai,ZHAO Wei.TIPS combined with gastric coronary vein embolization for cirrhosis portal hypertension complicated by upper gastrointestinal bleeding[J].journal interventional radiology,2017,(08):601.
[9]潘 峰,周国锋,梁 斌,等.经皮肝穿刺胃曲张静脉栓塞术联合或不联合部分脾动脉栓塞术治疗急性食管胃底曲张静脉破裂出血临床观察 [J].介入放射学杂志,2018,27(04):316.
　PAN Feng,ZHOU Guofeng,LIANG Bin,et al.Percutaneous transhepatic variceal embolization or together with partial splenic embolization for acute esophagogastric bleeding due to rupture of varicose veins： a clinical observation[J].journal interventional radiology,2018,27(08):316.
[10]朱 军,徐晓茜,罗剑钧,等.经皮脾静脉成形术治疗胰源性门静脉高压症 [J].介入放射学杂志,2018,27(05):415.
　ZHU Jun,XU Xiaoqian,LUO Jianjun,et al.Percutaneous splenic phleboplasty for the treatment of pancreatic portal hypertension[J].journal interventional radiology,2018,27(08):415.
[11]陈斯良,胡 朋,林志鹏,等.经颈静脉肝内门体静脉分流术治疗肝硬化门静脉高压症脾切除断流术后症状复发临床效果 [J].介入放射学杂志,2018,27(04):374.
　CHEN Siliang,HU Peng,LIN Zhipeng,et al.TIPS for the treatment of recurrent symptoms in patients with cirrhotic portal hypertension after splenectomy devascularization： analysis of clinical efficacy[J].journal interventional radiology,2018,27(08):374.
[12]林志鹏,陈斯良,赵剑波.乙型肝炎肝硬化患者肝静脉压力梯度与门静脉压力梯度相关性及临床价值[J].介入放射学杂志,2019,28(02):120.
　LIN Zhipeng,CHEN Siliang,ZHAO Jianbo..The correlation between hepatic venous pressure gradient and portal pressure gradient and its clinical value in patients with hepatitis B cirrhosis[J].journal interventional radiology,2019,28(08):120.
[13]白耀威,刘家成,熊 斌,等.血小板减少症患者经颈静脉肝内门体分流术安全性和预后分析[J].介入放射学杂志,2022,31(08):765.
　BAI Yaowei,LIU Jiacheng,XIONG Bin,et al.TIPS in patients with thrombocytopenia： analysis of clinical safety and prognosis[J].journal interventional radiology,2022,31(08):765.

备注/Memo

备注/Memo:
（收稿日期：2018-11-25）
（本文编辑：边 佶）
更新日期/Last Update: 2019-08-21