介入法腹水转流术治疗顽固性腹水  

Treatment with interventional peritoneovenous shunts for intractable ascites

作　　者：何明基[1] 申刚[1] 练辉[1] 王广宇[1] 李汉文[1] 陈德基[1] 

机构地区：[1]广州医学院第二附属医院放射科,510260

出　　处：《介入放射学杂志》2008年第2期95-97,共3页Journal of Interventional Radiology

摘　　要：目的评价介入法腹水转流术(IPVS)对顽固性腹水(IA)的治疗价值。方法45例IA患者,在腹腔与上腔静脉之间建立通道,术中测定腹腔内压和上腔静脉压,术后记录腹围、尿量。结果手术成功率100%;手术时间20～40min;腹腔-上腔静脉压力差平均为129.3mm水柱;手术第2天腹围开始缩小,第3天则明显缩小,平均缩小7.8cm;术后尿量明显增多,较术前平均增加770ml/d。总有效率77.8%(35/45)。无严重并发症。结论IPVS对IA治疗具有操作简便、微创、患者在院外自我护理方便等优点,可明显提高其生活质量。Objective To evaluate the value of the interventional peritoneovenous shunts（IPVS）for intractable ascites （IA）. Methods The passageway was built between abdominal cavity and superior vena cava（SVC）in 45 patients with IA. The pressure of abdominal cavity and SVC were measured during operation, the abdominal girth and the amount of urine were recorded after the operation. Results The successful rate of operation was 100% with operation time of 20 - 40 min. The average difference of pressure between abdominal cavity and SVC was 129.3 cm H2O. The abdominal girth began to reduce 2 days later, and reduced obviously since then with an average of 7.8 cm. Simultaneously, the amount of urine obviously increased after operation with an average of 770 ml/d. The total effective rate reached 77.8% with no serious complications. Conclusion IPVS has advantages of simple operation, minimal trauma and convenient for patients with IA nursing themselves etc. and thus improve the living quality of patients exactly.

关 键 词：顽固性腹水 腹水转流术 介入治疗 

分 类 号：R572[医药卫生—消化系统]