[1]童玉云,王家平,朱清亮,等.肝硬化门脉高压患者经颈静脉肝内门腔分流术后肝功能随访及疗效评估[J].介入放射学杂志,2013,(07):540-544.
 TONG Yu? yun,WANG Jia? ping,ZHU Qin? liang,et al.The changes of liver function and blood biochemistry in patients with portal hypertension due to cirrhosis after TIPS treatment[J].journal interventional radiology,2013,(07):540-544.
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肝硬化门脉高压患者经颈静脉肝内门腔分流术后肝功能随访及疗效评估()

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

卷:
期数:
2013年07期
页码:
540-544
栏目:
血管介入
出版日期:
2013-07-23

文章信息/Info

Title:
The changes of liver function and blood biochemistry in patients with portal hypertension due to cirrhosis after TIPS treatment
作者:
童玉云 王家平 朱清亮 李迎春 闫 东 杨 青 姜 华
Author(s):
TONG Yu?蛳 yun WANG Jia?蛳 ping ZHU Qin?蛳 liang LI Ying?蛳 chun YAN Dong YANG Qin JIANG Hua.
DSA Room, the Second Affiliated Hospital of Kunming Medical University, Kunming 650101, China
关键词:
【关键词】 肝硬化 门脉高压 上消化道出血 经颈静脉肝内门腔分流术 肝功能
文献标志码:
A
摘要:
【摘要】 目的 观察肝硬化门脉高压患者经颈静脉肝内门腔分流术(TIPS)后肝功能及血生化主要指标变化及疗效评估。方法 收集2008年10月至2012年2月因肝硬化失代偿期门静脉高压伴食管胃底静脉曲张破裂出血或(和)难治性腹水、脾功能亢进患者82例,进行TIPS及曲张静脉栓塞和(或)脾动脉栓塞术,其中肝功能Child?蛳 Pugh分级A级 14例, B 级43例,C 级25例。随访患者术后1、3、6、12个月的肝功能、血生化主要指标变化。结果 TIPS手术成功率为100%。73例随访3 ~ 24个月(平均12.25个月)。66例生存,16例死亡。患者术后1周肝功能下降,2 ~ 4周、3、6个月和1年肝功能变化与术前比较差异无统计学意义(P > 0.05)。术后患者脾功能亢进无明显改善。结论 TIPS术后因医源性机械损伤及门脉分流,短期内肝功能受损。但从中、远期来看,对肝功能影响较小。TIPS术对血象无明显影响,脾功能亢进所致血象改变无加重趋势。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2012-11-01)
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