摘要
目的探讨经颈静脉肝内门体分流术（TIPS）治疗门静脉高压并门静脉内栓子广泛形成后消化道出血的治疗效果。方法3例急性上消化道出血患者，均经CT明确诊断为门静脉、肠系膜上静脉内（含1例脾静脉内栓子形成）广泛栓子形成，行TIPS止血治疗，将支架放置于造影所见栓子的远端。结果TIPS治疗后，随访4～6周3例患者均未再发生出血，不适症状消失。结论TIPS治疗门静脉高压并门静脉内广泛栓子形成后消化道出血，安全可行，疗效可靠，值得推广。
Objective To investigate the effect of transjugular intrahepatic portosystemic stent shunt （TIPS） on gastrointestinal bleeding after portal hypertension and portal vein wide embolism. Methods Three patients with acute upper gastrointestinal bleeding were diagnosed by CT with wide embolus formation in portal vein and superior mesenteric vein, of which, 1 case was with spleen vein embolism formation. TIPS hemostatic treatment was applied to stop bleeding, and stents was placed where distal embolus can be observed by angiography. Results After TIPS treatment, no patients were re-bleeding during following-up periods （4 - 6 weeks）. Uncomfortable symptoms of 3 cases were disappeared. Conclusion TIPS was a safe and effective way to treat gastrointestinal bleeding caused by portal hypertension and wide embolus formation.
出处
《中国综合临床》
2013年第12期1329-1331,共3页
Clinical Medicine of China
关键词
门静脉栓子
颈静脉肝内门体分流术
消化道出血
Transjugular intrahepatic portosystemic stent shunt
Portal vein wide embolism
Gastrointestinal Bleeding
