肝硬化门静脉高压症的微创治疗进展

Advance of mini-invasive treatments of hepatic portal hypertension in cirrhosis

肝硬化门静脉高压症的治疗对腹部外科学仍是一个挑战。目前的手术方式主要有分流和断流术 ,然而肝硬化患者肝储备功能往往不足以耐受手术及麻醉的打击 ,因而手术病死率较高。随着内镜、影像技术的发展及新材料、新设备的出现 ,微创治疗以其创伤小、适应证广、疗效显著而成为当代研究的重点。

The therapeutic management of hepatic portal hypertension in patients with cirrhosis is still a challenge. At present surgical devascularization and shunting play the important roles in treatment of portal hypertension. While some cirrhotic patients can not bear the stress of operation and anesthesia because of inadequat potential hepatic function. So the mortality of operation is very high. With the development of endoscopy,radiological techniques and new materials and equipments, the mini invasive treatments become more important. This review summarizes the current advances of mini invasive treatments of portal hypertension in cirrhosis.