TIPS不同术式的临床疗效分析  

Clinical Analysis of Different Surgical Methods of TIPS

作　　者：杨广祥[1,2] 穆永旭[1] 

机构地区：[1]包头医学院第一附属医院,内蒙古包头014010 [2]包头医学院研究生学院,内蒙古包头014040

出　　处：《中外医疗》2016年第19期63-64,共2页China & Foreign Medical Treatment

摘　　要：目的比较经颈静脉肝内门体分流术（TIPS）不同术式的临床疗效。方法方便选取回顾性分析该院2008—2014年收治的肝硬化行TIPS术患者90例,选取穿刺门静脉左、右支各45例,比较术后肝性脑病和支架内狭窄的发生率。结果所有患者手术均成功。随访期间,穿刺门静脉左支发生肝性脑病4例,穿刺门静脉右支发生肝性脑病12例,两组比较差异有统计学意义（P〈0.05）;穿刺门静脉左支发生支架内狭窄3例,穿刺门静脉右支发生支架内狭窄11例,两组比较差异有统计学意义（P〈0.05）。结论穿刺门静脉左支建立分流道可以降低术后肝性脑病及支架内狭窄的发生率。Objective Comparing transjugular intrahepatic portosystemic shunt （TIPS） clinical efficacy of different surgical. Methods Convenient selection and retrospective analysis of 90 cases of TIPS in patients with liver cirrhosis during 2008-2014, and 45 cases of left and right branch of portal vein were selected, and compared the incidence rate of hepatic encephalopathy and stent stenosis Results All patients were successfully operated. During follow-up, the puncture of the left branch of the portal vein occurred hepatic encephalopathy in 4 cases, the puncture of the right portal vein branches of hepatic encephalopathy in 12 cases, the difference between the two groups has statistical significance （P 〈 0.05）; the puncture of the left branch of the portal vein in stent stenosis in 3 cases, puncture portal vein right branches of in stent stenosis in 11 cases, two groups compared with statistical significance （P 〈 0.05）. Conclusion Puncture portal branch established flow can reduce postoperative hepatic encephalopathy and stent restenosis incidence.

关 键 词：经颈静脉肝内门体分流术 门静脉 左支 右支 

分 类 号：R736.4[医药卫生—肿瘤]