经颈静脉肝内门体分流术并发症的处理及预防措施
经颈静脉肝内门体分流术(TIPS)可有效地降低门静脉高压,预防反复性食管胃底曲张静脉破裂出血以及缓解难治性腹水。术中涉及血管穿刺、肝实质内扩张穿刺道、支架植入等,会导致诸多并发症。如何对TIPS相关并发症进行有效预防和处理,是TIPS相关研究的一个新方向。对近年来TIPS术中、术后较常见的并发症以及预防/处理策略进行了综述。...
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| Published in | 临床肝胆病杂志 Vol. 32; no. 2; pp. 354 - 357 |
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| Main Author | |
| Format | Journal Article |
| Language | Chinese |
| Published |
重庆医科大学附属第二临床医院消化内科,重庆,400016%成都军区总医院消化内科,成都,610083
2016
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1001-5256 |
| DOI | 10.3969/j.issn.1001-5256.2016.02.034 |
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| Summary: | 经颈静脉肝内门体分流术(TIPS)可有效地降低门静脉高压,预防反复性食管胃底曲张静脉破裂出血以及缓解难治性腹水。术中涉及血管穿刺、肝实质内扩张穿刺道、支架植入等,会导致诸多并发症。如何对TIPS相关并发症进行有效预防和处理,是TIPS相关研究的一个新方向。对近年来TIPS术中、术后较常见的并发症以及预防/处理策略进行了综述。 |
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| Bibliography: | TUO Lin, TANG Shanhong, ZENG Weizheng, et al. (Department of Gastroenterology, The Second Affiliated Hospital of Chongqing Medical Universi- ty, Chongqing 400016, China) Transjugular intrahepatic portosystemic shunt (TIPS) can effectively reduce portal hypertension, prevent recurrent esophagogas- tric variceal bleeding, and relieve intractable ascites. TIPS involves vessel puncture, expansion of puncture tract within the liver parenchy- ma, and stent implantation, and may cause various complications. The effective prevention and treatment of TIPS -related complications have become a new direction for research in TIPS. This article reviews the intraoperative and postoperative complications of TIPS and related preventive and treatment strategies. portasystemic shunt, transjugular intrahepatic ; intraoperative complications ; postoperative complications ; review 22-1108/R |
| ISSN: | 1001-5256 |
| DOI: | 10.3969/j.issn.1001-5256.2016.02.034 |