肝门静脉压力测量方法研究进展

Research progress of measurement of hepatic portal venous pressure

目前肝硬化门静脉高压患者门静脉压力的测量方法有传统经典的经颈内静脉穿刺肝静脉压力梯度检测、基于影像学的无创评估及直接穿刺测量,其中超声引导下经皮经肝门静脉压力测量是直接获取门静脉压力值的方法,侵入性小、压力值测量准确,在门静脉高压患者的诊断、治疗管理及随访中有较大的应用前景。本文就肝门静脉压力测量方法的研究进展作一综述。

The measurements of portal venous pressure in patients with cirrhotic portal hypertension include traditional and classical hepatic venous pressure gradient detection through transjugular puncture,non-invasive assessment based on imaging,and direct puncture measurement,among which ultrasound-guided percutaneous transhepatic portal venous pressure measurement is a method to directly obtain portal venous pressure value,and is less invasive,more direct and accurate.It has a great application prospect in the diagnosis,treatment and follow-up of patients with portal hypertension.This paper reviews the research progress of hepatic portal venous pressure measurement.