TIPS在肝移植术后难治性腹水中的应用

The Applications of TIPS in Refractory Ascites after Liver Transplantation

两例肝移植术后患者出现难治性腹水,明确病因、改善一般状况及肝肾功能后,给予TIPS治疗。TIPS术后1周,两例患者腹水消失,至今已分别随访15月、37月,均未出现肝性脑病、肝功能异常等并发症。肝移植术后TIPS的主要适应症为难治性腹水、食道静脉曲张出血及流出道梗阻。TIPS是治疗肝移植术后难治性腹水一种安全、有效的方法,具有一定的临床治疗意义。

Administered trans]ugular intrahepatic portosystemic stent-shunt（TIPS） to 2 patients suffered from refractory ascites after liver transplantation, after difining pathogeny, improving general conditions and hepatorenal function. One weeks after TIPS, the refractory retrogressed in these 2 patients. After 15 and 37 months follow-up, there was no complications, such as hepatic encephalopathy, abnormal liver function and so on. The indication of TIPS after liver transplantation is refractory ascites, bleeding of esophageal varices and obstruction of outflow tract. TIPS is a safe and effective treatment to refractory ascites after liver transplantation, having particularly clinical significance.