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经颈静脉肝内门体分流术的罕见并发症及其防治

Prevention and treatment of rare complications after transjugular intrahepatic portosystemic shunt
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摘要 经颈静脉肝内门体分流术(transjugular intrahepatic portosystemic shunts,TIPS)已成为治疗门脉高压症相关并发症的常规方法,特别是药物、内镜、外科手术治疗效果不佳的食管胃静脉曲张破裂所致反复大出血,以及Budd-Chiari综合征、顽固性胸腹水、肝肾综合征等。尽管如此,TIPS术后多种并发症仍难以避免,特别是那些特罕见、极隐匿、不易处理的并发症,是造成患者预后差甚至死亡的重要原因。因此,TIPS术后少见并发症的成功防治已成为提高门脉高压症患者生存率的重要条件。本文旨在阐述TIPS所导致的罕见且严重并发症,并讨论其治疗及预防的策略。 Transjugular intrahepatic portosystemic shunts(TIPS)has become a routine method for the treatment of complications related to portal hypertension after decades of continuous exploration and improvement,especially for the treatment of the repeated massive bleeding from gastroesophagel varices under the poor effect of drugs,endoscopy and surgery,as well as the Budd-Chiari syndrome,refractory hydrothorax and ascites,hepatorenal syndrome and so on.Nevertheless,it is still inevitable for many complications after TIPS,especially those that are very rare,hidden and difficult to deal with,which are the important causes of poor prognosis and even death of patients.As a result,it can be seen that the successful prevention and treatment of rare complications after TIPS has become an important condition to improve the survival rate of patients with portal hypertension.In this paper,it was to study the rare but serious complications caused by TIPS,which also discussed the treatment and prevention strategies.
作者 赖姝婕 匡怡 LAI Shujie;KUANG Yi(Department of Gastroenterology;Department of Hepatobiliary Surgery,Daping Hospital,Army Medical University,Chongqing 400042,China)
出处 《胃肠病学和肝病学杂志》 CAS 2021年第2期229-233,共5页 Chinese Journal of Gastroenterology and Hepatology
关键词 门静脉高压 经颈静脉肝内门体分流术 手术并发症 Portal hypertension Transjugular intrahepatic portosystemic shunts Operative complications
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