摘要
报告１８例经颈静脉途经肝内门－体支架分流术，全部病例均有肝炎后肝硬化并门脉高压症，食道胃底静脉曲张，以及反复静脉曲张破裂出血病史。术后平均门静脉压由术前（４．１３±０．６８）ｋＰａ降至（２．１０±０．３２）ｋＰａ，门静脉血液流速由前（１４．１±８．２４）ｃｍ／ｓ增加至（５１．６±３．４４）ｃｍ／ｓ。术后６个月追踪观察中，食道胃底静脉曲张完全消失１２例，缓解３例，另３例再次出现轻度～中度上消化道出血。
ighteen cases of liver cirrhosis treated by TIPSS procedures were reported. AII pa- tients have history of post - hepatitic cirrhosis, portal hypatension , gastroesophageal varices and recurrent variceal hemorrhage. Shunts were established successfully in all patients , por- tal vein pressure reduced from (4.13±0.68) kPa (x±s) to (2.10 ±0. 32) kPa. Portal flow velocity increased from (14.1±8. 24) cm/s to (51. 6±3. 44) cm/s. Gastroesophageal varices disappeared in 12, abated in 3 patients, mild recurrent gastroesophageal hemoorhage in 3 at 6 months postoperative follow-up. No fatal complications occured in association with the procedure.
出处
《中山医科大学学报》
CSCD
1996年第2期132-136,共5页
Academic Journal of Sun Yat-sen University of Medical Sciences
关键词
门脉高血压
肝硬变
门脉系统
分流术
hypertension , portal/surgery
liver cirrhosis/complications
porta- systemic shunt, surgical/methods
portography
