安徽医科大学学报2017，Vol.52Issue(3)：443-445,3.DOI:10.19405/j.cnki.issn1000-1492.2017.03.031
超声对TIPS术后分流道功能评估的方法学研究
Methodology study of ultrasonography in detecting transjugular intrahepatic portosystemic shunt dysfunction
摘要
Abstract
Sixty patients with cirrhosis underwent transjugular intrahepatic portosystemic shunt(TIPS).Clinical efficacy was observed using doppler ultrasound before and 1 week, 1, 3, 6, 12 months after operation.Convex array probe in CDFI, in B-flow and phased array probe in CDFI were adopted to monitor the stent function.The statistics showed that the diameter of portal vein and spleen size decreased and the peak flow in portal vein increased 1 week after operation compared with that before operation.Direction of blood flow in the left gastric vein was mainly to the liver after operation.Convex array probe in CDFI, in B-flow and phased array probe in CDFI of the rate of stents patency were 82.4%, 74.0% and 97.9% respectively.The analysis of the statistics demonstrated that phased array probe in CDFI was more accurate than other modes in the determination of the stent occlusion;at least two modes in showing filling defected blood flow or accelerated blood flow within stent were better than single mode.Meanwhile,the combination of the change of ascites, the direction of blood flow in the left gastric vein and general clinical symptoms are more valuable in evaluating the shunt dysfunction.关键词
超声/经颈静脉肝内门体分流术/相控阵探头/凸阵探头Key words
ultrasound/transjugular intrahepatic portosystemic shunt/convex array probe/phased array probe分类
医药卫生引用本文复制引用
徐闪闪,张超学,李翀,邱文倩..超声对TIPS术后分流道功能评估的方法学研究[J].安徽医科大学学报,2017,52(3):443-445,3.基金项目
安徽高校省级自然科学研究项目(编号:KJ2013A151) （编号:KJ2013A151）
