门脉充血指数在TIPSS支架管功能判断中的价值  

The Value of Portal Vein Congestion Index in the Judgment of TIPSS Stent Tube Function

作　　者：李建志[1] 李洁[2] 刘宝真 徐琳琳[1] LI Jian-zhi;LI Jie;LIU Bao-zhen;XU Lin-lin(Department of Ultrasound,Jinan Infectious Disease Hospital,Shandong University,Jinan,Shandong Province,250021 China;Outpatient Department of Jinan Municipal People's Government,Jinan,Shandong Province,250099 China)

机构地区：[1]山东大学附属济南市传染病医院超声科,山东济南250021 [2]山东省济南市人民政府机关门诊部,山东济南250099

出　　处：《世界复合医学》2018年第6期96-98,共3页World Journal of Complex Medicine

基　　金：山东省济南市2014年卫生局科技计划项目(项目编号:2014-18)

摘　　要：目的观察TIPSS支架管功能应用门脉充血指数的判断价值。方法临床资料采集该院2017年7月—2018年6月接受TIPSS手术治疗的92例患者,按术后支架管功能情况分2组,正常组、障碍组分别为70例、22例,均行门脉超声检查,观察两组手术前后门脉充血指数情况。结果两组术后1周CI比较差异无统计学意义(t=0.000 0,P>0.05),正常组、障碍组术后1周CI(0.062±0.023)cm.sec、(0.062±0.028)cm.sec均较术前下降(t=6.544 4、6.422 7,P<0.05);正常组术后1周、1个月、3个月的CI比较无统计差异,正常组术后1周、1个月、3个月的CI(0.062±0.023)cm.sec、(0.063±0.021)cm.sec、(0.064±0.028)cm.sec均较术前下降(t=6.114 1、6.166 3、5.978 2,P<0.05);障碍组术后1周、1个月、3个月的CI比较无统计差异,障碍组术后1周、1个月、3个月的CI(0.062±0.028)cm.sec、(0.063±0.025)cm.sec、(0.065±0.027)cm.sec均较于术前下降(t=6.432 7、6.426 5、6.235 8、2.416 9,P<0.05),障碍组狭窄或闭塞时门脉的CI(0.116±0.035)cm.sec均较术前、术后1周、1个月、3个月时升高(t=7.714 3、7.890 1、7.387 5,P<0.05)。结论 TIPSS围术期门脉充血指数变化能间接判断支架管功能,能作为超声评价支架管功能的补充手段。Objective To observe the value of TIPSS stent tube function in the application of portal congestion index.Methods Clinical data were collected from 92 patients who underwent TIPSS surgery from July 2017 to June 2018 in our hospital.According to the postoperative stent function,there were 2 groups.The normal group and the disorder group with 70 cases and 22 cases,respectively.Portal vein ultrasonography was performed to observe the portal vein hyperemia index before and after surgery.Results There was no statistical difference in CI between the two groups(P﹥0.05,t=0.000 0).The normal group and the disease group had CI(0.062±0.023)cm.sec and(0.062±0.028)cm.sec at 1 week after operation.Compared with preoperative decline(t=6.544 4,6.422 7,P﹤0.05);there was no statistical difference in CI between 1 week,1 month and 3 months after operation in normal group.1 week,1 month,3 after operation in normal group of CI(0.062±0.023)cm.sec,(0.063±0.021)cm.sec,and(0.064±0.028)cm.sec were lower than those before surgery(P﹤0.05,t=6.1141,6.1663,5.9782);There was no statistical difference in CI at 1 week,1 month,and 3 months after operation of CI(0.062±0.028)cm.sec,(0.063±0.025)cm.sec,(0.065±0.027)cm.sec at 1 week,1 month,and 3 months after operation,lower than preoperative(t=6.432 7,6.426 5,6.235 8,2.416 9,P﹤0.05),and the CI of the portal group was stenosis or occlusion(0.116±0.035)cm.sec was higher than that before surgery,1 week,1 month,and 3 months after surgery(t=7.714 3,7.890 1,7.387 5,P﹤0.05).Conclusion The changes of portal hyperemia index in perioperative period of TIPSS can indirectly judge the function of stent tube and can be used as a supplementary method for evaluating the function of stent tube by ultrasound.

关 键 词：TIPSS 充血指数 支架 门静脉高压症 

分 类 号：R575.2[医药卫生—消化系统]