^(99m)Tc动态显像观察TIPS加改良Sugiura术对门静脉高压症病人门静脉血流循环及门体分流的影响  

An observation with ^(99m)Tc dynamic scintigraphy on effects of TIPS in combination with modified Sugiura procedure on portal circulation and portasystemic shunt in patients with portal hypertension

作　　者：赵翼[1] 吴性江[1] 朱虹[1] 黎介寿[1] 

机构地区：[1]南京军区南京总医院普外科,南京市210002

出　　处：《中华肝胆外科杂志》2001年第1期13-15,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的　研究经颈内静脉肝内门体分流术 (TIPS)加改良Sugiura术对门静脉高压症病人门静脉血流循环、肝外门体分流情况的影响。方法　对 14例门静脉高压症病人 ,进行治疗前后的99mTc动态显像、直接门静脉测压自身对比研究。结果　术前、TIPS及改良Sugiura术后病人的肝脏、门静脉开始显影时间分别显著提前 ;门静脉压力逐步降低 ;TIPS术后门体分流率 (shuntindex ,SI)明显下降 ,而改良Sugiura术后无显著变化 ;肝脏放射性 时间曲线斜率上升。结论　TIPS加改良Sugiura术造成的门静脉及肝外门体分流的改变有助于提高治疗门静脉高压症的临床疗效。Objective To investigate the effects of TIPS in combination with modified Sugiura procedure on portal circulation and portasystemic shunt in patients with hypertension. Methods Before and after the operation, the 99m Tc dynamic scintigraphy and direct measurement of the portal venous pressure were performed in 14 patients with portal hypertension. Results The initiative developing time of liver and portal vein was significantly brought forward after TIPS in combination with modified Sugiura procedure. The shunt index (SI) markedly decreased after TIPS alone. After the modified Sugiura procedure alone, the portal pressure decreased while SI remained the same. The average slope of hepatic time radioactivity curves increased. Conclusion The effects of TIPS in combination with modified Sugiura procedure on portal circulation and portasystemic shunt are beneficial. This combined protocol can reliably enhance the clinical therapeutic efficacy on portal hypertension.

关 键 词：门体分流术 门脉高压症 门静脉血流循环 TIPS SUGIURA术 ^99mTc动态显像 

分 类 号：R657.34[医药卫生—外科学]