摘要
非外科门体分流术是指通过单纯介入技术或介入与外科技术相结合方式完成的门体分流术。经颈静脉肝内门体分流术(TIPS)已成为肝硬化门静脉高压重要治疗手段。随着介入技术不断发展,在经典TIPS基础上涌现出许多新型非外科门体分流术式,与之相应的手术名称及英文缩写也层出不穷。然而,许多手术名称未能准确反映其技术特点,且存在大量重名现象。该共识旨在回顾和分析非外科门体分流术现有名称及其技术特点,并基于各术式技术种类(type of technology,T)、穿刺途径(approach,A)和分流道位置(location of shunt,L)提出TAL分类命名法。该命名法有助于厘清现有非外科门体分流术之间关系,促进学术交流。
Non-surgical portosystemic shunts are portosystemic bypasses established either through purely interventional techniques or via combined interventional-surgical approaches.The transjugular intrahepatic portosystemic shunt(TIPS)has become an important therapeutic option for patients with cirrhotic portal hypertension.With the advancement of interventional techniques,many novel non-surgical portosystemic shunting methods have been developed based on the classical TIPS procedure.Concurrently,many new technical terms and abbreviations have emerged.However,some of these names fail to adequately reflect the technical characteristics of the treatment methods,leading to confusion in their nomenclature.To clarify the relationships among these non-surgical shunting modalities and facilitate academic communication,this consensus statement systematically reviewed and analyzed the existing terminologies and technical characteristics of the modalities.Based on the type of technology(T),puncture approach(A),and location of the shunt(L)for each procedure,we propose the TAL nomenclature and classification method for categorizing them.
作者
中国医师协会介入医师分会门静脉高压介入专家工作组
赵剑波
王忠敏
李卫校
Committee on Portal Hypertension,Interventional Physicians'Branch of Chinese Medical Doctor Association;ZHAO Jianbo;WANG Zhongmin
出处
《介入放射学杂志》
北大核心
2025年第7期679-685,共7页
Journal of Interventional Radiology
基金
广东省自然科学基金(2024A1515013069)
国家重点研发计划(2023YFC2507500)
国家自然科学基金(82472079,82402129)。
关键词
介入治疗
复合手术
肝内分流
肝外分流
门体分流术
脾肾分流术
肠腔分流术
interventional therapy
hybrid procedure
intrahepatic shunt
extrahepatic shunt
portosystemic shunt
splenorenal shunt
mesocaval shunt
