中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (05): 390-392.
• 专题笔谈 • 上一篇 下一篇
吴性江,黎介寿
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摘要:
介入放射技术在治疗门静脉高压症食管静脉曲张出血和顽固性腹水中有着极其重要的作用。经颈内静脉肝内门体分流术(TIPS)用于治疗门静脉高压症已有20年历史,治疗数千例病人,技术成功率达90%,在全球广泛应用。TIPS虽存在肝性脑病和分流道阻塞的问题,近年来覆膜支架的应用显著提高分流道的通畅率。球囊阻塞的逆行胃底曲张静脉栓塞(B-RTO)是治疗胃底静脉曲张出血的另一种介入放射技术,在日本广泛应用,控制胃底静脉曲张出血成功率>90%。
关键词: 介入放射技术, 门静脉高压症
Abstract:
Role of interventional radiology in the management of portal hypertension:current status WU Xing-jiang , LI Jie-shou. Department of General Surgery, General Hospital of Nanjiang Unit, People’s Liberation Army, Nanjing 210002,China Corresponding author:WU Xing-jiang, E-mail: wxj_wxj@sohu.com Abstract The interventional radiology plays a well-established role in the management of patients with complications of portal hypertension such as variceal bleeding or refractory ascites. Transjugular intrahepatic portosystemic shunt (TIPS) is an interventional radiology technique that has shown a 90% success rate to decompress the portal circulation。 TIPS has been in use for more than 20 years to treat the complications of portal hypertension. TIPS has been used in thousands of patients with liver disease worldwide. Portosystemic encephalopathy and stent dysfunction are TIPS major drawbacks. The improved results achieved with covered-stents might expand the currently accepted recommendations for TIPS use. Balloon-occluded retrograde transvenous obliteration (B-RTO) is another interventional radiology technique that can prevent and treat gastric variceal bleeding. The procedure has been widely performed in Japan.The bleeding control rate of gastric varices after B-RTO has been described as greater than 90%.
Key words: interventional radiology, portal hypertension
吴性江,黎介寿. 介入放射技术治疗门静脉高压症进展[J]. 中国实用外科杂志, 2009, 29(05): 390-392.
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