门静脉血栓诊治的一些新认识

Advances in diagnosis and treatment of portal venous thrombosis

门静脉血栓(portal vein thrombosis,PVT)是肝硬化的常见并发症之一,可使门静脉压力进一步升高,加重肝功能失代偿;但由于起病隐匿,症状不典型,其重要性在临床诊疗工作中长期被忽视.近年来,随着临床诊断技术的发展,PVT的检出率逐年上升.目前,PVT的常见治疗方式包括抗凝治疗、介入治疗及外科手术治疗,然而临床医生对于各种治疗方式的选择仍存在困惑.本文就近年来PVT诊断及治疗方面取得的进展进行简要综述,以期为PVT病人的临床精细化管理提供理论参考.

Portal vein thrombosis(PVT)is one of the common complications of liver cirrhosis,which can further increase portal vein pressure and aggravate liver function decompensation.However,due to the insidious onset and atypical symptoms,the importance of PVT has been neglected in clinical work for quite a long time.With the development of clinical diagnostic technology,the detection rate of PVT has increased year by year.At present,the well-established treatment methods for PVT include anticoagulant therapy,interventional therapy,and surgical treatment.However,the optimal choice for PVT treatment remains unclear.In this paper,we briefly review the recent progress in the diagnosis and treatment of PVT in order to provide a theoretical reference for the refined clinical management of patients with PVT.