摘要
经颈静脉肝内门腔静脉内支架分流术(TIPSS)治疗肝硬化门脉高压症30例,29例手术成功,1例失败,7例出现并发症。29例患者术前平均血总胆红紊为25.12±9.80mmol/l,术后为50.46+34.50mmol/l,术前血氨平均为152.33±65.30μg/dl,术后为233.33±99.96μg/dl。作者分析了并发症的成因,认为肝性脑病、黄疸与肝功能状态与分流通道直径大小有关,其他并发症如肝内多发脓肿、肺内感染、菌血症等与伴随疾病和操作技术有关。本文介绍了 TIPSS 术前术后及并发症的治疗原则,讨论了TIPSS 的适应证与禁忌证。
Transjugular intrahepatic portosystemic stent shunt(TIPSS)was per- formed in 30 cases of liver cirrhosis with portal hypertention.Operations were susceeded in 29 cases with only one failure.Complications happened in 7 cases,In 29 patients the average blood bilirubin was 25.12±9.80 mmol/l before TIPSS turning to 50.46±34.50 mmol/l after TIPSS;The average blood amonia was 152.33±65.30 μg/dl before TIPSS changing to 233.33±599.96 μg/dl after TIPSS.The contributing factors were due to liver function state and shunting channel diameter for causing hepatic encephalopathy and jaundice.Other complications such as multipule liver abscesses,pneumonia,bacteriemia were related to the accompanied diseases and operative technique.The authors introduced the principles of pre- vention and treatment of complications,together with the indications and contraindications of TIPSS.
出处
《介入放射学杂志》
CSCD
1994年第4期193-196,共4页
Journal of Interventional Radiology
