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经颈静脉肝内门体分流术对酒精性肝硬化导致门静脉高压的治疗效果与安全性分析

汤善宏 秦建平 蒋明德 曾维政 姚欣 何乾文 唐文 顾明

汤善宏, 秦建平, 蒋明德, 曾维政, 姚欣, 何乾文, 唐文, 顾明. 经颈静脉肝内门体分流术对酒精性肝硬化导致门静脉高压的治疗效果与安全性分析[J]. 临床肝胆病杂志, 2014, 30(2): 145-148. DOI: 10.3969/j.issn.1001-5256.2014.02.012.
引用本文: 汤善宏, 秦建平, 蒋明德, 曾维政, 姚欣, 何乾文, 唐文, 顾明. 经颈静脉肝内门体分流术对酒精性肝硬化导致门静脉高压的治疗效果与安全性分析[J]. 临床肝胆病杂志, 2014, 30(2): 145-148. DOI: 10.3969/j.issn.1001-5256.2014.02.012.
Tang ShanHong, Qin JianPing, Jiang MingDe, Ceng WeiZheng, Yao Xin, He QianWen, Tang Wen, Gu Ming. Clinical effect and safety of TIPS in treatment of portal hypertension due to alcoholic cirrhosis[J]. J Clin Hepatol, 2014, 30(2): 145-148. DOI: 10.3969/j.issn.1001-5256.2014.02.012.
Citation: Tang ShanHong, Qin JianPing, Jiang MingDe, Ceng WeiZheng, Yao Xin, He QianWen, Tang Wen, Gu Ming. Clinical effect and safety of TIPS in treatment of portal hypertension due to alcoholic cirrhosis[J]. J Clin Hepatol, 2014, 30(2): 145-148. DOI: 10.3969/j.issn.1001-5256.2014.02.012.

经颈静脉肝内门体分流术对酒精性肝硬化导致门静脉高压的治疗效果与安全性分析

DOI: 10.3969/j.issn.1001-5256.2014.02.012
基金项目: 

成都军区总医院院管课题资助(2013YG-B009); 

详细信息
  • 中图分类号: R575.2

Clinical effect and safety of TIPS in treatment of portal hypertension due to alcoholic cirrhosis

Research funding: 

 

  • 摘要:

    目的分析经颈静脉肝内门体分流术(TIPS)治疗酒精性肝硬化导致门静脉高压的有效性及安全性。方法回顾性总结2006年6月至2011年6月本院30例接受TIPS治疗的酒精性肝硬化导致门静脉高压的患者资料,记录术前及术后门静脉压力、腹水、脾功能亢进、肝功能等指标。随访终点为术后2 a,观察术后并发症包括消化道再出血、支架堵塞、腹水及肝性脑病发生情况,并分析肝性脑病发生与患者临床参数的关系。穿刺前、后门静脉压力差别采用配对t检验分析;Kaplan-Meier方法用于术后临床参数与肝性脑病发生相关性分析。结果 TIPS手术成功率为100%(30/30),门静脉压力术前(37.27±2.52)cm H2O降为术后(24.6±2.58)cm H2O,差异具有统计学意义(P<0.05)。术后2 a内,消化道再出血率为3.3%(1/30);腹水治疗有效率达88.9%(16/18);支架狭窄发生率为6.7%(2/30);肝性脑病发生率为40%(12/30)。Kaplan-Meier分析发现患者术前Child-Pugh分级与术后肝性脑病发生密切相关(P=0.04)。结论 TIPS是治疗酒精性肝硬化门静...

     

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  • 出版日期:  2014-02-20
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