采用Viatorr支架行TIPS治疗门静脉高压症疗效

Efficacy of Viatorr TIPS in treating portal hypertension

目的分析Viatorr支架用于TIPS治疗门静脉高压的临床疗效。方法收集使用Viatorr支架行TIPS治疗的34例门静脉高压患者,分析术后门静脉压力下降情况、肝性脑病发病率及分流道通畅率。结果采用Viatorr支架行TIPS技术成功率100%;术前、术后门静脉压力分别为(40.00±3.85)cmH_2O和(23.60±2.87)cmH_2O。术后随访1～14个月,分流道通畅率100%(34/34),肝性脑病发病率5.88%(2/34)。结论使用Viatorr支架行TIPS治疗门静脉高压手术操作成功率高,分流道通畅率高,术后肝性脑病发生率低。

Objective To observe clinical effect of Viatorr stents in TIPS for treatment of portal hypertension.Methods Thirty-four portal hypertension patients who underwent TIPS using Viatorr stents were collected.The portal vein pressure,the incidence of hepatic encephalopathy and patency rate of shunt were analyzed.Results TIPS was successfully performed using Viatorr stent,the technical success rate was 100%.The preoperative and postoperative portal pressures were(40.00±3.85)cmH2O and(23.60±2.87)cmH2O,respectively.During 1 to 14 months'follow-up,the patency rate of shunt was 100%(34/34),and the incidence of hepatic encephalopathy was 5.88%(2/34).Conclusion Viatorr TIPS for treatment of portal hypertension has high operative success rate,high shunt patency rate and low incidence of hepatic encephalopathy.