摘要
目的研究经颈静脉途径肝内门体静脉内支架分流术TIPSS术后肝性脑病的发生与门静脉血流方向的关系。方法:采用彩色多普勒超声测量212例TIPSS术后患者的肝内门静脉血流。结果:212例TIPSS术后病人发生肝性脑病33例,占16%;门静脉血流方向呈离肝型的病人的肝性脑病发生率较呈向肝型的病人高(60%比3%,<0.02)。结论:TIPSS术后门静脉血流方向呈离肝型者容易发生肝性脑病;彩色多普勒超声可作为监测TIPSS术后肝性脑病的方法之一。
Objective:To study the relationship between hepatic encephalopathy and blood flow direction of intra hepatic portal vein after transjugular intrahepatic portosystemic stent shunt (TIPSS).Method:Intrahepatic portal vein flow was measured by using color Doppler ultrasonography in212patients who underwent TIPSS.Results:16%(33/212)of patients developed hepatic en-cephalopathy after TIPSS.Patients with″ex-liver″pattern of portal vein flow had higher rate of hepatic en cephalopathy compared to those with″toward-liver″pattern of portal vein flow (60%vs3%,P<0.02).Conclusions:Patients with″ex-liver″pattern of portal vein flow after TIPSS are more likely to develop hepatic encephalopathy.Color Dopple r ultrasonogra phy can be used as a method to predict the occurrence of hepatic encephalopathy.
出处
《新医学》
北大核心
2001年第6期330-331,共2页
Journal of New Medicine
