经颈静脉肝内门体分流术研究进展及其在肝硬化门静脉高压治疗中的应用

近年来,随着基础研究及临床应用的进步,经颈静脉肝内门体分流术（TIPS）的成功率明显提高,支架再狭窄率及术后肝性脑病的发生率亦得到控制。结合笔者临床实践及国内外大会热点,就TIPS相关技术进展及其在肝硬化中的应用进行介绍,主要包括TIPS穿刺辅助技术、TIPS支架、TIPS相关肝性脑病及防治以及TIPS适应证和禁忌证、TIPS在肝硬化中解决的问题、肝硬化食管胃底静脉曲张破裂出血治疗中TIPS相对于其他治疗方法的优缺点。以期为TIPS更好的发展作一点贡献,让更多肝硬化患者获益。...

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Bibliographic Details
Published in临床肝胆病杂志 Vol. 32; no. 2; pp. 234 - 237
Main Author 肖江强 诸葛宇征
Format Journal Article
LanguageChinese
Published 南京大学医学院附属鼓楼医院,南京,210008 2016
Subjects
肝硬化
门体分流术,经颈静脉肝内
门静脉高压
食管胃底静脉曲张
食管胃底静脉曲张
portal hypertension
肝硬化
portasystemic shunt,transjugular intrahepatic
门静脉高压
门体分流术,经颈静脉肝内
esophageal and gastric varices
liver cirrhosis
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ISSN1001-5256
DOI10.3969/j.issn.1001-5256.2016.02.006

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Summary:近年来,随着基础研究及临床应用的进步,经颈静脉肝内门体分流术（TIPS）的成功率明显提高,支架再狭窄率及术后肝性脑病的发生率亦得到控制。结合笔者临床实践及国内外大会热点,就TIPS相关技术进展及其在肝硬化中的应用进行介绍,主要包括TIPS穿刺辅助技术、TIPS支架、TIPS相关肝性脑病及防治以及TIPS适应证和禁忌证、TIPS在肝硬化中解决的问题、肝硬化食管胃底静脉曲张破裂出血治疗中TIPS相对于其他治疗方法的优缺点。以期为TIPS更好的发展作一点贡献,让更多肝硬化患者获益。
Bibliography:liver cirrhosis ; portal hypertension ; portasystemic shunt, transjugular intrahepatie ; esophageal and gastric varices
In recent years, with the development in basic research and clinical application, the success rate of transjugular intrahepatic port- osystemic shunt （TIPS） has been increased significantly, and stent restenosis rate and the incidence of postoperative hepatic encephalopathy have been controlled. With reference to the authors＇ clinical practice and hot topics of conferences at home and abroad, this article intro- duces the advances in TIPS - related techniques and their application in liver cirrhosis, including TIPS puncture technique, TIPS stent, TIPS -related hepatic encephalopathy and its prevention and treatment, TIPS indications and contraindications, the issues solved by TIPS in liver cirrhosis, and the advantages and disadvantages of TIPS in the treatment of esophagogastric variceal bleeding compared with other therapeutic methods, in order to make contributions to the development of TI
ISSN:1001-5256
DOI:10.3969/j.issn.1001-5256.2016.02.006