Hepatic hemangiomas(HHs)are the most common benign tumors of the liver.These tumors are mainly asymptomatic and do not require treatment.Nevertheless,there are some special cases that require therapeutic intervention,...Hepatic hemangiomas(HHs)are the most common benign tumors of the liver.These tumors are mainly asymptomatic and do not require treatment.Nevertheless,there are some special cases that require therapeutic intervention,and surgery and intervention are currently the primary treatment modalities.Despite significant advances in the development of minimally invasive techniques and their popularization,interventional treatment of HH is still the preferred choice.In the present review,we discuss the pathological properties,type of blood supply,and treatment indications for HH and assess the status and progress of the existing interventional treatments.展开更多
Aim:The transjugular intrahepatic portosystemic shunt(TIPS)procedure has been performed in China for 30 years,but our understanding of the status and difficulties associated with the use of TIPS for portal hypertensio...Aim:The transjugular intrahepatic portosystemic shunt(TIPS)procedure has been performed in China for 30 years,but our understanding of the status and difficulties associated with the use of TIPS for portal hypertension is incomplete.This study aims to investigate the current situation of the use of TIPS for portal hypertension,which should aid the development of TIPS in China.Methods:This study involved a questionnaire survey,initiated by the China Portal Hypertension Alliance(CHESS)to investigate the use of TIPS for portal hypertension in China.Questionnaires were released on the Internet between August 16,2022 and September 16,2022.Detailed information was collected from 545 hospitals contracted by the CHESS in China,which performed TIPS surgery in 2021.Results:The 545 hospitals covers the majority of hospitals in China that conduct TIPS intervention.In the survey,a total of 13,527 TIPS interventions were carried out with 94.1%(498/545)of them had a system of routine follow‐up after TIPS.The majority(42.6%[232/545])believed that the main indication of TIPS was the control of acute bleeding.Overall,48.1%(262/545)carried out early or pre‐emptive TIPS,53.0%(289/545)carried out TIPS for cavernous transformation of the portal vein,and 81.0%(441/545)chose routine embolization of collateral circulation during operation.Most used coils(97.0%[475/490])and biological glue(72.0%[353/490])as embolic materials,and 78.5%(428/545)routinely performed intraoperative portal pressure gradient measurements.When selecting TIPS stents,57.1%(311/545)chose viator‐specific stents,and 57.2%(312/545)chose conventional anticoagulation after TIPS.Conventional anticoagulation after TIPS is over a time interval of 3–6 months(55.4%[173/312]).The limitation of TIPS surgery is mainly its cost(72.3%[394/545])and insufficient understanding of the procedure by doctors in other related departments(77.4%[422/545]).Most of the hospital teams accept the use of domestic instruments in TIPS surgery(92.7%[505/545]).Conclusions:This survey shows that TIPS is an essential part of the treatment of portal hypertension in China.TIPS is widely used in Chinese patients with portal hypertension,and this survey presents a more comprehensive picture of the options and difficulties encountered in the implementation of TIPS.In the future,it is necessary to promote TIPS technology and further standardize surgical indications,routine operations,and instrument application.展开更多
Objective To investigate the computed tomography(CT) characteristics of the new coronavirus(COVID-19) pneumonia patients in familial clusters.Methods A retrospective analysis was conducted in the COVID-19 pneumonia pa...Objective To investigate the computed tomography(CT) characteristics of the new coronavirus(COVID-19) pneumonia patients in familial clusters.Methods A retrospective analysis was conducted in the COVID-19 pneumonia patients(4 males and 3 females) of 3 familial clusters admitted to Tianjin Third Central Hospital from January 30 to February 10,2020 and confirmed by the Tianjin expert group.The clinical data and CT findings were analyzed.Result The CT signs were consistent with the typical manifestations in the three family clusters:multiple ground-glass opacity(GGOs) in both lungs that are mainly under the pleura,with or without thickening of small pulmonary vessels.In the first family,the couple had the onset at the same time,the CT findings were positive and were confirmed as COVID-19 pneumonia.In the second family,the wife had the onset first and showed positive at the first CT exam;the husband had the onset afterwards and showed positive at the first CT.In the third family,the couple had the onset at the same time,the husband was positive at the first CT diagnosis,while the wife showed negative at the first CT but positive at the second CT exam;the husband’s brother was asymptomatic,but was positive at the first CT diagnosis.All three were confirmed as COVID-19 infection.Conclusion There are differences between the CT manifestations and clinical symptom in different COVID-19 pneumonia patients.Correct understanding of the differences is beneficial to diagnosis.展开更多
文摘Hepatic hemangiomas(HHs)are the most common benign tumors of the liver.These tumors are mainly asymptomatic and do not require treatment.Nevertheless,there are some special cases that require therapeutic intervention,and surgery and intervention are currently the primary treatment modalities.Despite significant advances in the development of minimally invasive techniques and their popularization,interventional treatment of HH is still the preferred choice.In the present review,we discuss the pathological properties,type of blood supply,and treatment indications for HH and assess the status and progress of the existing interventional treatments.
文摘Aim:The transjugular intrahepatic portosystemic shunt(TIPS)procedure has been performed in China for 30 years,but our understanding of the status and difficulties associated with the use of TIPS for portal hypertension is incomplete.This study aims to investigate the current situation of the use of TIPS for portal hypertension,which should aid the development of TIPS in China.Methods:This study involved a questionnaire survey,initiated by the China Portal Hypertension Alliance(CHESS)to investigate the use of TIPS for portal hypertension in China.Questionnaires were released on the Internet between August 16,2022 and September 16,2022.Detailed information was collected from 545 hospitals contracted by the CHESS in China,which performed TIPS surgery in 2021.Results:The 545 hospitals covers the majority of hospitals in China that conduct TIPS intervention.In the survey,a total of 13,527 TIPS interventions were carried out with 94.1%(498/545)of them had a system of routine follow‐up after TIPS.The majority(42.6%[232/545])believed that the main indication of TIPS was the control of acute bleeding.Overall,48.1%(262/545)carried out early or pre‐emptive TIPS,53.0%(289/545)carried out TIPS for cavernous transformation of the portal vein,and 81.0%(441/545)chose routine embolization of collateral circulation during operation.Most used coils(97.0%[475/490])and biological glue(72.0%[353/490])as embolic materials,and 78.5%(428/545)routinely performed intraoperative portal pressure gradient measurements.When selecting TIPS stents,57.1%(311/545)chose viator‐specific stents,and 57.2%(312/545)chose conventional anticoagulation after TIPS.Conventional anticoagulation after TIPS is over a time interval of 3–6 months(55.4%[173/312]).The limitation of TIPS surgery is mainly its cost(72.3%[394/545])and insufficient understanding of the procedure by doctors in other related departments(77.4%[422/545]).Most of the hospital teams accept the use of domestic instruments in TIPS surgery(92.7%[505/545]).Conclusions:This survey shows that TIPS is an essential part of the treatment of portal hypertension in China.TIPS is widely used in Chinese patients with portal hypertension,and this survey presents a more comprehensive picture of the options and difficulties encountered in the implementation of TIPS.In the future,it is necessary to promote TIPS technology and further standardize surgical indications,routine operations,and instrument application.
文摘Objective To investigate the computed tomography(CT) characteristics of the new coronavirus(COVID-19) pneumonia patients in familial clusters.Methods A retrospective analysis was conducted in the COVID-19 pneumonia patients(4 males and 3 females) of 3 familial clusters admitted to Tianjin Third Central Hospital from January 30 to February 10,2020 and confirmed by the Tianjin expert group.The clinical data and CT findings were analyzed.Result The CT signs were consistent with the typical manifestations in the three family clusters:multiple ground-glass opacity(GGOs) in both lungs that are mainly under the pleura,with or without thickening of small pulmonary vessels.In the first family,the couple had the onset at the same time,the CT findings were positive and were confirmed as COVID-19 pneumonia.In the second family,the wife had the onset first and showed positive at the first CT exam;the husband had the onset afterwards and showed positive at the first CT.In the third family,the couple had the onset at the same time,the husband was positive at the first CT diagnosis,while the wife showed negative at the first CT but positive at the second CT exam;the husband’s brother was asymptomatic,but was positive at the first CT diagnosis.All three were confirmed as COVID-19 infection.Conclusion There are differences between the CT manifestations and clinical symptom in different COVID-19 pneumonia patients.Correct understanding of the differences is beneficial to diagnosis.
