[1]祁兴顺,韩国宏,樊代明.经颈静脉肝内门体分流术治疗门静脉血栓的现状[J].介入放射学杂志,2010,(11):916-920.
 QI Xing-shun,HAN Guo-hong,FAN Dai-ming.Transjugular intrahepatic portosystemic shunt for the treatment of portal vein thrombus: its current status[J].journal interventional radiology,2010,(11):916-920.
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经颈静脉肝内门体分流术治疗门静脉血栓的现状()

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

卷:
期数:
2010年11期
页码:
916-920
栏目:
综 述
出版日期:
2010-11-25

文章信息/Info

Title:
Transjugular intrahepatic portosystemic shunt for the treatment of portal vein thrombus: its current status
作者:
祁兴顺韩国宏樊代明
710032  西安 第四军医大学西京消化病医院消化介入科
Author(s):
QI Xing-shun HAN Guo-hong FAN Dai-ming
Department of Digestive Interventional Radiology, Xijing Hospital of Digestive Diseases. the Fourth Military Medical University, Xi’an 710032, China
关键词:
经颈内静脉肝内门体分流术 血栓 门静脉
分类号:
R575.21
文献标志码:
摘要:
门静脉血栓形成的患病率在整体人群中仅为1.1%,在肝硬化患者中为10%~25%。在急性门静脉血栓形成患者中,如果血栓蔓延至肠系膜上静脉,可导致肠缺血,继而引起肠坏死等严重并发症。另外,慢性门静脉血栓形成可并发食管胃底静脉曲张出血、腹水等门静脉高压征,也可损害肝脏功能。最近的临床实践指南指出,开通门静脉血栓的治疗方法主要包括抗凝、溶栓、经颈静脉肝内门体分流术(TIPS)及外科切栓等。TIPS的优势不仅在于更直接地、有效地开通阻塞的门静脉,而且在建立肝内分流道后可以加速门静脉血流,预防进一步血栓再发。其主要的缺点在于技术难度大以及潜在的技术并发症等危险。然而,经皮经肝、经脾及经肠系膜上静脉穿刺到达门静脉的途径大大地降低了TIPS的手术难度;同时,术前充分的评估门静脉的解剖情况也使TIPS治疗门静脉海绵样变性变得更加安全、有效。但目前缺少相关的前瞻性研究仍限制TIPS的广泛应用。

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备注/Memo

备注/Memo:
收稿日期:20100416
更新日期/Last Update: 2010-11-25