超声引导下置入内支架治疗癌栓性门静脉高压

The value of curing portal hypertension caused by tumor thrombi with percutan eous portal vein stent implantation under the US guidance

目的探讨通过超声引导经皮肝穿途径向门脉内放置内支架治疗癌栓引起的门静脉高压的效果。方法对6例原发性肝癌合并门静脉主干癌栓引起门脉高压症的病人采用超声引导经皮肝穿门脉内支架置入术,并于术后随访6个月～18个月。结果6例采用超声引导经皮肝穿门脉内支架置入术治疗癌栓引起门脉高压均获得成功,技术成功率100%,术后肝功能明显改善,未发生与操作相关的严重并发症。结论门静脉主干癌栓引起门脉高压症,采用超声引导下内支架置入术治疗,方法简单,成功率高,疗效显著,能提高患者生存质量,延长其生存期。

Objective To evaluate the treatment of portal hypertensi on caused by tumor thrombi with percutaneous transhepatic portal vein stent implan tation under the US guidance. Methods Percutaneous transhepatic portal vein sten ts by US guided were implanted in 6 patients of HCC with tumor thrombi of main p ortal vein, and then followed- up for 6- 18 months. Results Stent placement wa s successful in all 6 cases. The successful rate was 100% . The hepatic functio ns were improved obviously and there were no severe complications related to the procedure after the operation.Conclusion Percutaneous portal vein stents placem ent by US guided for the treatment of the portal hypertension caused by tumor th rombi of main portal vein is simple and effective means for improving the living quality and increasing the life span of patients and the successful rate is muc h higher.