[1]单航声,蒋明明,徐 浩,等.改良经颈静脉肝内门体分流术治疗布- 加综合征所致顽固性腹水效果分析 [J].介入放射学杂志,2021,30(03):235-238.
 SHAN Hangsheng,JIANG Mingming,XU Hao,et al.Modified transjugular intrahepatic portosystemic shunt for the treatment of refractory ascites caused by Budd-Chiari syndrome: analysis of curative effect[J].journal interventional radiology,2021,30(03):235-238.
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改良经颈静脉肝内门体分流术治疗布- 加综合征所致顽固性腹水效果分析
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
30
期数:
2021年03
页码:
235-238
栏目:
血管介入
出版日期:
2021-03-29

文章信息/Info

Title:
Modified transjugular intrahepatic portosystemic shunt for the treatment of refractory ascites caused by Budd-Chiari syndrome: analysis of curative effect
作者:
单航声 蒋明明 徐 浩 张庆桥 魏 宁 许 伟 崔艳峰 刘洪涛顾玉明 祖茂衡 王文亮 高志康
Author(s):
SHAN Hangsheng JIANG Mingming XU Hao ZHANG Qingqiao WEI Ning XU Wei CUI Yanfeng LIU Hongtao GU Yuming ZU Maoheng WANG Wenliang GAO Zhikang.
Department of Interventional Radiology, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province 221006, China
关键词:
【关键词】 布-加综合征 经颈静脉肝内门体分流术 顽固性腹水
文献标志码:
A
摘要:
【摘要】 目的 探讨改良经颈静脉肝内门体分流术(TIPS)治疗布-加综合征(BCS)所致顽固性腹水患者的效果。方法 回顾性分析2015年6月至2019年7月徐州医科大学附属医院采用改良TIPS 治疗的31例BCS所致顽固性腹水患者临床资料。其中早期接受改良TIPS治疗17例(肝静脉广泛阻塞8例,残存肝静脉代偿不全9例),肝静脉开通失败或反复再狭窄转改良TIPS治疗14例。记录手术成功率、腹水缓解率、肝性脑病发生率。采用彩色多普勒超声或CT随访观察分流道通畅情况。 结果 31例患者改良TIPS手术均成功。患者门静脉压力由术前(34.5±6.7) mmHg(1 mmHg=0.133 kPa)显著降至术后(18.9±2.6) mmHg(P<0.01),无手术相关严重并发症发生。术后随访2~34个月,中位随访15.6个月。术后1、3、6、12个月时腹水完全缓解率分别为74.2%(23/31)、93.1%(27/29)、95.8%(23/24)、95.8%(23/24);术后发生肝性脑病1例,发生率为3.3%(1/30);术后1年、2年分流道原发通畅率分别为95.8%(23/24)、91.7%(11/12),继发通畅率皆为100%(24/24,12/12)。 结论 改良TIPS术治疗BCS所致顽固性腹水安全有效,可获得较好的中远期疗效。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2020- 02- 05)
(本文编辑:边 佶)
更新日期/Last Update: 2021-03-24