摘要
报告了12例应用 TIPSS 并 SEEV 治疗 CPH 合并上消道出血的临床研究结果。技术成功率91.7%。分流道为10mm。门脉平均压力由术前的43.2±5.3cmH_2O,降至术后的26.8±3.4cmH_2O。术后随访6～12月。分流道狭窄1例。3个月内死亡3例。初步结果表明:1.TIPSS 是治疗 CPH 合并消化道出血的新的有效的方法,近中期疗效满意。2.TIPSS 同时行 SEEV 对减少再出血,预防食管静脉破裂出血是非常有效的。3.支架以 Wall-stent 为最佳。4.对曾有过肝性脑病,肝功能差者,要加强预防性治疗措施。
This study reported the result of the clinical application of TIPSS and SEEV in treatment of CPH complicated with upper gastriointestinal bleeding,all together 12 cases.The successful rate was up to 91.7%,with shunt width 10mm,the portal venone pressure down from 43.2±5.3cm H_2O preoperatively to 26.8±3.4cm H_2O postaperativ- ely,6～12 months postoperative follow up showed restenosis of shunt in 1 case and 3 died within three months.The preliminary conclusion revealed:1.TIPSS was a new effective method for treating CPH complicated by digestive tract bleeding especially with mid term ef- ficacy.;2.TIPSS together with SEEV could further decrease the recussance of bleeding and thus was very effective for preventing ruptune of esophageal varicoses.;3.Wall-Stent was the best to be used.;4.Preventive measures should be emphasized in cases having suffered from hepatoencephalopathy and liver function inefficiency.
出处
《介入放射学杂志》
CSCD
1995年第4期201-203,211,共4页
Journal of Interventional Radiology
关键词
门脉高血压
肝硬变
TIPSS
Hypertension
portal vein
Portocaval shunt
Liver
Interventional radiology
