[1]何明基,申刚,练辉,等.介入法腹水转流术治疗顽固性腹水[J].介入放射学杂志,2008,(02):95.
 HE Mingji,SHEN Gang,LIAN Hui,et al.Treatment with interventional peritoneovenous shunts for intractable ascites[J].journal interventional radiology,2008,(02):95.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年02期
页码:
95
栏目:
血管介入
出版日期:
2008-02-15

文章信息/Info

Title:
Treatment with interventional peritoneovenous shunts for intractable ascites
作者:
何明基申刚练辉
510260广州医学院第二附属医院放射科
Author(s):
HE Ming-jiSHEN GangLIAN Hui WANG Guang-yuLI Han-wenCHEN De-ji
The Second Affiliated Hospital of Guangzhou Medical College,Guangzhou510260,China
关键词:
顽固性腹水腹水转流术介入治疗
分类号:
R657.31
文献标志码:
A
摘要:
目的评价介入法腹水转流术(IPVS)对顽固性腹水(IA)的治疗价值。方法45例IA患者,在腹腔与上腔静脉之间建立通道,术中测定腹腔内压和上腔静脉压,术后记录腹围、尿量。结果手术成功率100%;手术时间20~40min;腹腔-上腔静脉压力差平均为129.3mm水柱;手术第2天腹围开始缩小,第3天则明显缩小,平均缩小7.8cm;术后尿量明显增多,较术前平均增加770ml/d。总有效率77.8%(35/45)。无严重并发症。结论IPVS对IA治疗具有操作简便、微创、患者在院外自我护理方便等优点,可明显提高其生活质量。

参考文献/References:

[1]任习芳,陈岳祥,张兴荣,等.顺铂与白细胞介素-2联合治疗恶性腹水23例临床观察[J].现代医药卫生,2006,22:2004-2005.
[2]Leveen HH,Chirstoudias G,Ip M,et al.Peritoneo-Venous shunting for ascites[J].Ann Surg,1974,8:580-584.
[3]李彦豪,梅雀林,陈勇.经皮腹腔-静脉转流术治疗顽固性腹水一例[J].中华放射学杂志,1997,40:681.
[4]Hillaire S,Labiance M,Borgonvo G,et al.Peritoneovenous shunting of intractable ascites in patients with cinbosis:Improving results and predictive factors of failure[J].Surgery,1993,113:373-375.
[5]Souter RG,Wells C,Tarin D,et al.Surgical and pathologic complications associated with peritoneovenous shunts in management of malignant ascites[J].Cancer,1985,55:1973-1978.
[6]Smith EM,Jayson GC.The current and future management of malignant ascites[J].Clin Oncol,2003,15:59-72.
[7]申保生,李桂香.腹水超滤浓缩回输治疗顽固性腹水38例报告[J].职业与健康,2005,21:119-120.
[8]孙占阜,寇萃华,葛彦成.腹水超滤浓缩腹腔回输治疗肝硬化顽固性腹水14例[J].中国基层医药,2006,13:1002.
[9]Zanon C,Grosso M,Apra F,et al.Palliative treatment of mali-gnant refrectory ascites by positioning of Denver peritoneo-venous shunt [J].Tumor,2002,88:123-127.

相似文献/References:

[1]叶萍.Denver腹腔颈静脉分流术治疗顽固性腹水[J].介入放射学杂志,1994,(02):117.

备注/Memo

备注/Memo:
收稿日期:2007-07-25
更新日期/Last Update: 2008-02-15