经颈静脉肝内门腔静脉内支架分流术治疗肝硬变门脉高压症

Portal Hypertention in Cirrhosis Transjugular Intraheptic Portosystemic Stent Shunt

目的:探讨经颈静脉肝内门腔静脉内支架分流术(TIPS)治疗肝硬变门脉高压症的技术操作、并发症及其疗效。方法:采用经颈静脉肝内门腔静脉内支架分流术,治疗5例肝炎后肝硬变门脉高压症患者,分流通道直径为10mm。结果:4例成功,术后平均门脉压力由4.46kPa(45.50 cmH_2O)降为2.13 kPa(21.75 cmH_2O),消化道出血得到控制,胸腹水明显吸收,食管静脉曲张减轻或消失,临床症状得到改善。结论:TIPS 具有创伤小、疗效确切、合并症少、适应范围广等优点,是治疗门脉高压食管、胃底静脉曲张破裂出血的一种安全、有效的方法,其长期疗效有待进一步观察。

Objective:To evaluate transjugular intrahepatic portosystemic stent shunt(TIPS)in the treatment of liver cirrhosis with portal hypertention and its technical manipulation,complication and effici- cacy.Methods:TIPS was used to treat 5 cases of liver cirrhosis with portal hypertention.The diameter of the shunt was 10 mm.Results:The average portal vein pressure significantly droped from 4.4 kPa before shunting to 2.13 kPa after shunting.Gastrointestinal bleeding and ascites were effectively controled after TIPS.Conclusion:TIPS is a safe and effective treatment for portal hypertention in liver cirrhosis.The long-term benefit of TIPS needs further follow-up.