[1]丁鹏绪,张文广,韩新巍,等.改良式TI PS治疗肝静脉广泛阻塞型布-加综合征的近期疗效[J].介入放射学杂志,2011,(02):138-140.
 HAN Xin-wei,ZHANG Wen-guang,DING Peng-xu,et al.Modified TIPS for the treatment of Budd-Chiari syndrome with extensive occlusion of hepatic veins: its short-term results[J].journal interventional radiology,2011,(02):138-140.
点击复制

改良式TI PS治疗肝静脉广泛阻塞型布-加综合征的近期疗效()

PDF下载中关闭

分享到:

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

卷:
期数:
2011年02期
页码:
138-140
栏目:
临床研究
出版日期:
2011-03-15

文章信息/Info

Title:
Modified TIPS for the treatment of Budd-Chiari syndrome with extensive occlusion of hepatic veins: its short-term results
作者:
丁鹏绪   张文广   韩新巍   任建庄   李   臻   周朋利   马彦高   麻恒翔
450052 郑州 郑州大学第一附属医院介入科,郑州大学介入治疗研究所,河南省介入治疗与临床研究中心
Author(s):
HAN Xin-wei ZHANG Wen-guang DING Peng-xu REN Jian-zhuang LI Zhen ZHOU Peng-li MA Yan-gao MA Heng-xiang.
Department of Interventional Radiology, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
肝静脉阻塞 布-加综合征 门体分流术经颈静脉肝内
分类号:
R543.6
文献标志码:
摘要:
目的 观察改良式TIPS治疗肝静脉广泛阻塞型布加综合征(BCS)的近期疗效。方法 7例肝静脉广泛阻塞型BCS患者,使用改良术式TIPS治疗,其中2例为急性,5例为亚急性或慢性。术后给予正规抗凝治疗,并用彩色多普勒超声随访疗效。结果 7例肝静脉广泛阻塞型BCS均成功完成改良式TIPS,7例患者共置入12枚支架(覆膜支架3枚,自膨式支架9枚),随访彩色多普勒超声2 ~ 12个月,1例术后5个月又出现狭窄,并行第2次介入治疗,置入1枚支架。术后门脉压力由术前的(40.7 ± 12.6)cmH2O下降到(17.2 ± 3.4)cmH2O,术后1个月肝功能指标及脾功能亢进血象明显好转。结论   改良式TIPS治疗肝静脉广泛阻塞型BCS近期疗效满意。

参考文献/References:

[1] Ding PX, Han XW, Wu G, et al. Outcome of a retrieval stent filter and 30 mm balloon dilator for patients with Budd-Chiari syndrome and chronic inferior vena cava thrombosis: aprospective pilot study[J]. Clin Radiol, 2010, 65: 629 - 635.
[2] 田 浩, 徐 浩, 祖茂衡, 等. Budd-Chiari肝静脉阻塞型布-加综合征误诊误治原因分析[J]. 介入放射学杂志, 2008, 17: 769 - 772.
[3] 梁松年, 徐 克. TIPS中8 mm直径覆膜支架应用的临床研究[J]. 介入放射学杂志, 2008, 17: 98 - 101.
[4] Chen L, Xiao T, Chen W. Outcomes of transjugular intrahepatic portosystemic shunt through the left branch vs.the right branch of the portal vein in advanced cirrhosis: a randomized trial[J]. Liver Int, 2009, 29: 1101 - 1109.
[5] 郭 立, 杨达宽, 袁曙光, 等. 经静脉肝内门体分流术术前MRA评价[J]. 介入放射学杂志, 2010, 19: 16 - 19.
[6] 褚建国, 孙晓丽, 黄 鹤, 等. 经肝段下腔静脉入路经颈静脉肝内门体分流术的适应证及解剖基础[J]. 介入放射学杂志, 2004, 13: 15 - 18.
[7] Kroma G, Lopera J, Cura M, et al. Transjugular intrahepatic portosystemic shunt flow reduction with adjustable polytetraf-luoroethylene-covered balloon-expandable stents[J]. J Vasc Intervent Radiol, 2009, 20: 981 - 986.
[8] Riggio O, Ridola L, Angeloni S, et al. Clinical efficacy of tra-nsjugular intrahepatic portosystemic shunt created with covered stents with different diameters: results of a randomized controlled trial[J]. J Hepatol, 2010, 53: 267 - 272.
[9] Garcia-Pagán JC, Heydtmann M, Raffa S, et al. TIPS for Budd-Chiari syndrome: long-term results and prognostics factors in 124 patients[J]. gastroenterology, 2008, 3: 808 - 815.
[10] 曹广劭, 王晓白. 覆膜支架防治TIPS分流道再狭窄的研究进展[J]. 介入放射学杂志, 2008, 17: 670 - 674.
[11] Jung HS, Kalva SP, Greenfield AJ, et al. TIPS: Comparison of shunt patency and clinical outcomes between bare stents and expanded polytetrafluoroethylene stent-grafts[J]. J Vasc Intervent Radiol, 2009, 20: 180 - 185.

相似文献/References:

[1]牛志科,吕光华,杜飞,等.布-加综合征介入治疗及并发症分析[J].介入放射学杂志,2010,(05):405.
 NIU Zhike,LV Guanghua,DU Fei,et al.Analysis of the complications in interventional treatment for Budd-Chiari syndrome[J].journal interventional radiology,2010,(02):405.
[2]朱康顺,关守海,何可可,等.肝移植术后肝静脉流出道梗阻的介入治疗[J].介入放射学杂志,2009,(03):170.
 ZHU Kangshun,GUAN Shouhai,HE Keke,et al.Interventional management of hepatic venous outflow obstruction after liver transplantation[J].journal interventional radiology,2009,(02):170.
[3]李天晓,白卫星,王子亮,等.经皮经肝肝静脉成形术治疗肝静脉阻塞型Budd-Chiari综合征[J].介入放射学杂志,2008,(04):234.
 LI Tianxiao,BAI Weixing,WANG Ziliang,et al.Clinical study on percutaneous transhepatic angioplasty of hepatic veins in the treatment of Budd-Chiari syndrome with occlusion of hepatic veins[J].journal interventional radiology,2008,(02):234.
[4]张璐西,吴金平,徐 浩,等.肝小静脉闭塞病的诊断与鉴别诊断[J].介入放射学杂志,2012,(12):987.
 ZHANG Lu? xi,WU Jin? ping,XU Hao,et al. The diagnosis and differential diagnosis of hepatic veno?蛳 occlusive disease[J].journal interventional radiology,2012,(02):987.
[5]王文亮,徐 浩,魏 宁,等.布-加综合征介入治疗近期效果评价中脾脏剪切波速与门静脉压力相关性研究 [J].介入放射学杂志,2017,(10):878.
 WANG Wenliang,XU Hao,WEI Ning,et al.The correlation between spleen SWV and portal vein pressure: its application in evaluating the short- term effect of interventional therapy for Budd- Chiari syndrome[J].journal interventional radiology,2017,(02):878.
[6]王文亮,魏 宁,徐 浩,等.肝脏剪切波速检测及与门静脉压力相关性研究在布-加综合征介入疗效评价中的应用[J].介入放射学杂志,2023,32(12):1178.
 WANG Wenliang,WEI Ning,XU Hao,et al.The application of liver shear wave velocity and its correlation with portal vein pressure in evaluating the efficacy of interventional treatment for Budd-Chiari syndrome[J].journal interventional radiology,2023,32(02):1178.

备注/Memo

备注/Memo:
收稿日期:20100920
更新日期/Last Update: 2011-03-15