[1]孙 诚,于长路,贾科峰,等.三维路图在经颈静脉门体分流术中导引门静脉穿刺的应用价值 [J].介入放射学杂志,2022,31(04):346-350.
 SUN Cheng,YU Changlu,JIA Kefeng,et al.The application of three-dimensional roadmap in guiding puncture of portal vein during the performance of transjugular intrahepatic portosystemic shunt[J].journal interventional radiology,2022,31(04):346-350.
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三维路图在经颈静脉门体分流术中导引门静脉穿刺的应用价值
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
31
期数:
2022年04
页码:
346-350
栏目:
血管介入
出版日期:
2022-06-15

文章信息/Info

Title:
The application of three-dimensional roadmap in guiding puncture of portal vein during the performance of transjugular intrahepatic portosystemic shunt
作者:
孙 诚 于长路 贾科峰 高忠嵩 宋德钊 范 勇
Author(s):
SUN Cheng YU Changlu JIA Kefeng GAO Zhongsong SONG Dezhao FAN Yong.
Department of Medical Imaging, General Hospital of Tianjin Medical University, Tianjin 300070, China
关键词:
【关键词】 经颈静脉门体分流术 三维路图 常规间接门静脉造影 门静脉穿刺
文献标志码:
A
摘要:
【摘要】 目的 比较经颈静脉门体分流术(TIPS)中三维路图和常规间接门静脉造影引导门静脉穿刺的效果。方法 回顾性分析2018年4月至2021年2月连续121例接受TIPS治疗患者临床资料。根据TIPS术中门静脉穿刺导引方式分为三维路图组(研究组,n=42)、常规间接门静脉造影组(对照组,n=79)。采用Mann-Whitney检验分析两组患者间技术/血流动力学成功率,门静脉穿刺次数、穿刺时间、X线透视剂量,成像辐射剂量及图像质量的差异;Kendall’s tau-b相关系数分析图像质量相关性。结果 两组患者基线差异均无统计学意义(P>0.05)。两组技术成功率和血流动力学成功率均为100%。 两组门静脉穿刺针数、穿刺时间、透视剂量、穿刺相关并发症差异均无统计学意义(P=0.30、0.61、0.55、1.00)。研究组门静脉成像辐射剂量(63.1±23.3) Gy/cm2低于对照组(209.9±49.5) Gy/cm2(P>0.01)。研究组与对照组门静脉图像质量差异有统计学意义(P=0.04)。研究组(tau-b=0.79,P<0.01)、对照组(tau-b=0.71,P<0.01)图像质量,均与门静脉穿刺导引效果呈显著正相关。对照组图像质量与穿刺透视剂量呈负相关(tau-b=-0.2,P=0.02)。结论 三维路图和常规间接门静脉造影均能成功导引TIPS术中门静脉穿刺,但三维路图导引辐射剂量更低,可有效减少患者所受射线辐射。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2021- 04- 19)
(本文编辑:边 佶)
更新日期/Last Update: 2022-05-11