[1]宋德洋,李卫校,徐如涛,等.AngioJet血栓抽吸联合经颈静脉肝内门体分流术治疗急性门静脉系统血栓形成效果分析[J].介入放射学杂志,2022,31(03):236-241.
SONG Deyang,LI Weixiao,XU Rutao,et al.AngioJet thrombus aspiration combined with TIPS for the treatment of acute portal venous systemic thrombosis: analysis of curative effect[J].journal interventional radiology,2022,31(03):236-241.
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AngioJet血栓抽吸联合经颈静脉肝内门体分流术治疗急性门静脉系统血栓形成效果分析(/HTML)
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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31
- 期数:
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2022年03
- 页码:
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236-241
- 栏目:
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血管介入
- 出版日期:
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2022-03-25
文章信息/Info
- Title:
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AngioJet thrombus aspiration combined with TIPS for the treatment of acute portal venous systemic thrombosis: analysis of curative effect
- 作者:
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宋德洋; 李卫校; 徐如涛; 崔明哲; 翟水亭
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- Author(s):
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SONG Deyang; LI Weixiao; XU Rutao; CUI Mingzhe; ZHAI Shuiting.
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Department of Vascular Surgery, Henan Provincial People’s Hospital, Zhengzhou, Henan Province 450003, China
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- 文献标志码:
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A
- 摘要:
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【摘要】 目的 评价AngioJet血栓抽吸联合经颈静脉肝内门体分流术(TIPS)治疗急性门静脉系统血栓形成(APVST)的安全性和有效性。方法 回顾性分析2018年1月至2019年12月在河南省人民医院接受AngioJet血栓抽吸联合TIPS治疗的15例APVST患者临床资料。观察住院及术后随访期间患者症状、DSA、CT、血液检查等相关数据变化,评估手术效果。结果 15例患者手术均获成功。出院前临床症状均有缓解或消失,出院时支架管腔和肠系膜上静脉完全再通7例,部分再通8例。随访时间为(11.7±5.8)个月,1例术后2个月因拒绝再次手术死于肝衰竭,1例术后28个月再发血栓形成,球囊扩张和支架植入治疗好转后出院,2例出现肝性脑病。术后6个月完全再通9例,部分再通5例。所有生存患者均未发生肠坏死、穿孔及消化道大出血等门静脉高压相关并发症。结论 AngioJet血栓抽吸联合TIPS术治疗APVST安全有效,可快速降低门静脉系统血栓量、恢复正向血流,尽早实现门静脉系统再通,降低门静脉海绵样变性及门静脉高压相关并发症发生率。
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备注/Memo
- 备注/Memo:
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(收稿日期:2021- 01- 03)
(本文编辑:边 佶)
更新日期/Last Update:
2022-03-17