TIPSS术+食道胃底静脉曲张栓塞术前后门静脉压力的变化  

Portal pressure changes before and after TIPSS + esophageal and gastric variceal embolization

作　　者：高长泰[1] 郭应兴[1] 

机构地区：[1]青海大学附属医院介入放射科,青海西宁810001

出　　处：《中国现代医药杂志》2011年第5期17-19,共3页Modern Medicine Journal of China

摘　　要：目的观测肝硬化门静脉高压患者行经颈内静脉肝内门体分流术(transjugular intrahepatic portosystemic stent shunt,TIPSS)+食道胃底静脉曲张栓塞术前后门静脉压力的变化,进而探讨TIPSS+食道胃底静脉曲张栓塞术在治疗肝硬化门静脉高压中的作用。方法对20例因肝硬化所致门静脉高压患者行经颈内静脉肝内门体分流术+食道胃底静脉曲张栓塞术,在术前、术后分别用直接法测定门静脉主干压力,比较术前、术后压力的变化。结果术前本组肝硬化门脉高压患者的门静脉压力为(41.46±4.89)cmH2O、术后为(25.65±5.73)cmH2O,差异有显著性(P<0.001)。术前、术后压力差为(15.82±3.12)cmH2O,术后较术前门静脉压力平均下降38.13%。结论 TIPSS+食道胃底曲张静脉栓塞术可显著降低肝硬化门脉高压患者的门静脉压力,在治疗肝硬化门脉高压症中有重要的应用价值。Objective To evaluate the effects of transjugular intrahepatic portosystemic stent shunt（TIPSS）＋ esophageal and gastric variceal embolization in the treatment of cirrhosis and portal hypertension by analasizing portal pressure changes before and after the operashion.Methods TIPSS＋ esophageal and gastric variceal embolization was performed in twenty pationts with cirrhosis and portal hypertension,the portal pressure before and after the operashion were compared.Results Mean portal pressure dropped form（41.46±4.89）cmH2O to（25.65±5.73）cmH2O,the difference was significant（P0.001）.Mean portal pressure difference was（15.82±3.12）cmH2O.Mean portal pressure fall fate was 38.13%.Conclusion There is significant difference in the portal pressure between pre-operashion and post-operashion.TIPSS ＋ esophageal and gastric variceal embolization is available in the treatment of cirrhosis and portal hypertension.

关 键 词：肝硬化 门静脉高压 经颈内静脉肝内门体分流术 静脉曲张栓塞术 门静脉压力 直接法 

分 类 号：R575.2[医药卫生—消化系统]