经颈静脉肝内门体分流术治疗肝硬化顽固性腹水的现状

王澜静; 姚欣; 秦建平; 汤善宏

doi:10.3969/j.issn.1001-5256.2022.11.034

经颈静脉肝内门体分流术治疗肝硬化顽固性腹水的现状

DOI: 10.3969/j.issn.1001-5256.2022.11.034

王澜静^{1, 2},
姚欣¹,
秦建平¹,
汤善宏^{1, 2, , ,}

1.
西部战区总医院消化内科，成都 610083
2.
西南医科大学附属医院消化内科，四川泸州 646099

基金项目:

四川省卫生健康委员会科研课题 (20PJ180)

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：王澜静参与拟定写作思路，收集分析文献，撰写论文及修改；姚欣参与指导撰写文章及论文修改；秦建平负责拟定写作思路，指导撰写文章及论文修改；汤善宏负责指导撰写文章，论文修改及最后定稿。

详细信息

通信作者:
汤善宏，15928956390@163.com

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- 被引次数: 0
出版历程
- 收稿日期: 2022-03-22
- 录用日期: 2022-05-07
- 出版日期: 2022-11-20

TIPS for treatment of refractory ascites in cirrhosis

Lanjing WANG^{1, 2},
Xin YAO¹,
Jianping QIN¹,
Shanhong TANG^{1, 2
, ,
,}

1.
Department of Gastroenterology, The General Hospital of Western Theater Command, Chengdu 610083, China
2.
Department of Gastroenterology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan 646099, China

Research funding:

Scientific Research Project of Sichuan Provincial Health Commission (20PJ180)

More Information

Corresponding author: TANG Shanhong, 15928956390@163.com(ORCID: 0000-0001-6652-2942)

摘要

摘要: 顽固性腹水是肝硬化失代偿期门静脉高压的并发症之一，其治疗难度大，病死率高。目前经颈静脉肝内门体分流术(TIPS)作为顽固性腹水的二线治疗，能通过降低门静脉压力来改善腹水症状。国内外大量研究已经提出，使用覆膜TIPS支架，谨慎选择适用人群可以改善顽固性腹水患者的预后，因此有学者提出TIPS可作为顽固性腹水的一线治疗手段。本文将全面介绍国内外TIPS治疗肝硬化顽固性腹水的现状，并对相关研究进展进行阐述，旨在推动我国TIPS治疗顽固性腹水相关研究的发展。
- 肝硬化 /
- 腹水 /
- 门体分流术，经颈静脉肝内 /
- 高血压, 门静脉
Abstract: Refractory ascites (RA) is one of the complications of portal hypertension in decompensated cirrhosis. It is hard to treat RA and there is high mortality in patients with RA. Nowadays, Transjugular Intrahepatic Portosystemic Shunt (TIPS) is used as a second-line treatment for RA. TIPS can improve the clinical symptoms of ascites by reducing the pressure of portal vein. Accumulated studies have proposed that applications of polytetrafluoroethylene covered stents and careful selection of applied patients can improve the prognosis of RA patients. Therefore, some scholars propose that TIPS can be used as one of the first-line treatments for RA. This review will comprehensively summarize current understanding of TIPS in treating RA patients and elaborate the most recently updated progress of the relevant researches, aiming to promote the development of studies on using TIPS as a treatment for RA patients in China.
- Liver Cirrhosis /
- Ascites /
- Portasystemic Shunt, Transjugular Intrahepatic /
- Hypertension, Portal

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参考文献(37)

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