摘要
经颈静脉肝内门腔分流术,目前已广泛应用于肝硬化门脉高压并发症的治疗,尤其是门脉高压引起的胃底食管静脉曲张破裂出血,经颈静脉肝内门腔分流术更应作为一线治疗方案.然而,术后支架的狭窄或闭塞是引起分流道功能障碍导致手术失效的主要原因.本文着重回顾支架、覆膜材料的发展,分流道狭窄或闭塞的原因以及分流道的再次修复.
Transjugular intrahepatic portosystemic shunt(TIPS) has been extensively used to treat the complications of portal hypertension and should be considered the first-line treatment for hemorrhage of acute esophagogastric varices caused by portal hypertension.However,stent stenosis or occlusion after TIPS is the main cause of shunt dysfunction and surgical failure.This paper aims to make a comprehensive review of stents,with the focus being on the development of stents and stent coat material,the reason of shunt stenosis or occlusion,and the revision of shunt.
出处
《世界华人消化杂志》
CAS
2015年第33期5311-5317,共7页
World Chinese Journal of Digestology
基金
云南省卫生科技计划资助项目
Nos.2012WS0107
2014NS112~~