经颈静脉肝内门体分流术术后抗血栓治疗的研究进展  

Research progress of antithrombotic therapy after transjugular intrahepatic portosystemic shunt

作　　者：李洪翠[1] 李肖[1] 

机构地区：[1]四川大学华西医院介入诊疗中心,成都610041

出　　处：《中华解剖与临床杂志》2016年第1期82-84,共3页Chinese Journal of Anatomy and Clinics

基　　金：国家自然科学基金（81171444）

摘　　要：目的 探讨经颈静脉肝内门体分流术（TIPS）术后抗血栓治疗的必要性及重要性。方法分别以“transjugularintrahepaticportosystemicshunt”、“门脉高压”为关键词在Pubmed及CNKI数据库检索1994年1月112014年6月关于TIPS治疗及术后评估的相关文献，分析TIPS术后血栓形成的原因、抗血栓治疗的意义及策略。结果TIPS术后分流道内血栓影响TIPS的疗效。抗血栓治疗可以提高支架通畅率，为保证TIPS手术疗效起关键作用。结论TIPS术后抗血栓治疗可以减少分流道血栓形成，对维持分流道通畅极为重要。Objective To discuss the necessity and importance of antithrombotic therapy after transjugular intrahepatic portosystemic shunt（TIPS）. Methods The literatures related to TIPS treatment and postoperative from January 1994 to June 2014 were searched in Pubmed and CNKI database by using ＂ transjugular intrahepatic portosystemic shunt＂, ＂门脉高压＂ as key words. The reasons for thrombosis, significance and strategies of antithrombotic therapy after TIPS were analyzed. Results Shunt thrombosis after TIPS affected the efficacy of TIPS. Antithrombotic therapy can improve stent patency rates. It plays a key role to ensure TIPS efficacy. Conclusions Antithrombotic therapy can reduce shunt thrombosis after TIPS,which is extremely impnrtant in maintaining shunt patency.

关 键 词：门体分流术 经颈静脉肝内 静脉血栓形成 高血压 门静脉 抗血栓治疗 

分 类 号：R657.3[医药卫生—外科学]