两例全内脏反位合并门静脉高压症患者TIPS治疗体会  

Experience in transjugular intrahepatic portosystemic shunt for potal hypertension of patient with complete situs inversus viscerun : two cases report

作　　者：高西杰 赵剑波[2] 王江云[2] 肖利军[2] Gao Xijie;Zhao Jianbo;Wang Jiangyun;Xiao Lijun(Department of Interventional Diagnostic and Therapeutic,the People's Hospital of Wanning,Wanning 571500,Hainan Province,China;Vascular and Interventional Ward,Department of General Surgery,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]海南省万宁市人民医院介入诊疗科,571500 [2]南方医科大学南方医院普通外科血管与介入病区,广州510515

出　　处：《中华肝胆外科杂志》2021年第4期303-304,共2页Chinese Journal of Hepatobiliary Surgery

摘　　要：2例门静脉高压症患者同时伴有完全性内脏反位,临床表现为消化道出血、腹水,完善相关实验室及腹部增强CT检查后,局麻下行经颈静脉肝内门体分流术(TIPS)。术者站位及穿刺方向均为正常镜像,成功置入专用Viatorr覆膜支架,术后患者均恢复,未出现相关并发症。内脏反位患者行TIPS术前应根据影像学资料评估手术难度,制定个性化手术方案,术中需克服习惯思维。

关 键 词：门静脉高压症 经颈静脉肝内门体分流术 内脏反位 TIPS 穿刺方向 覆膜支架 消化道出血 相关并发症 

分 类 号：R657.34[医药卫生—外科学]