经颈静脉肝内门体分流术治疗肝硬化门静脉高压症的预后评估

Prognostic evaluation of transjugular intrahepatic portosystemic shunt in treatment of cirrhotic portal hypertension

经颈静脉肝内门体分流术(TIPS)是肝硬化门静脉高压症的一项重要治疗手段,但术后肝衰竭、肝性脑病等并发症一定程度限制了TIPS的临床应用。总结了血清学指标、临床指标、评分系统等TIPS术后预后评估的研究进展及临床价值。临床可根据实际情况选择不同指标或进行综合评估,以提高患者的术后生存率。

Transjugular intrahepatic portosystemic shunt( TIPS) is an important method for the treatment of cirrhotic portal hypertension;however,its clinical application is limited by postoperative complications such as liver failure and hepatic encephalopathy. This article summarizes and analyzes the research advances in the clinical value of serological markers,clinical indices,and scoring systems in prognostic evaluation of TIPS. Indices can be selected or comprehensive evaluation can be performed based on clinical situations,in order to improve patients’ postoperative survival rate.