食管疾病2024，Vol.6Issue(3)：208-211,4.DOI:10.15926/j.cnki.issn2096-7381.2024.03.008
经颈内静脉肝内门体分流术在慢性门静脉血栓伴食管曲张静脉出血患者中的临床应用价值
The Clinical Application Value of Transjugular Intrahepatic Portosystemic Shunt in Patients with Chronic Portal Vein Thrombosis and Esophageal Variceal Bleeding
刘欢 1朱世超 1胡玉娜 1邹辉煌 1霍佳 1成辉1
作者信息
摘要
Abstract
To explore the application value of transjugular intrahepatic portosystemic shunt(TIPS)in patients with chronic portal vein thrombosis and esophageal variceal bleeding.Methods From January 2023 to October 2023,100 patients with chronic portal vein thrombosis complicated with esophageal variceal bleeding were selected,including 40 patients with partial portal vein occlusion,14 patients with complete portal vein occlusion,28 patients with complete portal vein occlusion complicated with spongiform degeneration,and 18 patients with complete portal vein occlusion complicated with acute superior mesenteric vein,SMV)thrombo-sis,and the patients were treated with intrahepatic portal via internal jugular vein.Results:In this treatment,the success rate of TIPS surgical technique was 82.0％(82/100),that of patients with partial portal vein oc-clusion was 100％(40/40),that of patients with complete portal vein occlusion was 71.43％(10/14),that of patients with complete portal vein occlusion and SMV thrombosis was 77.78％(14/18).The postoperative complications were 15.0％(6/40),28.57％(4/14),44.44％(8/18)and 42.86％(12/28)respectively.Conclusion In the TIPS treatment of patients with chronic portal vein thrombosis and esophageal variceal bleeding,the degree of slow vein obstruction can directly affect the success rate of treatment and the patency rate of shunt,so if patients do not have other effective treatment conditions,they can choose TIPS treatment.关键词
经颈内静脉肝内门体分流术/慢性门静脉血栓/食管曲张静脉出血/重症患者/重症护理Key words
intrahepatic portosystemic shunt via internal jugular vein/chronic portal vein throm-bosis/esophageal variceal bleeding/severe patients/intensive care分类
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刘欢,朱世超,胡玉娜,邹辉煌,霍佳,成辉..经颈内静脉肝内门体分流术在慢性门静脉血栓伴食管曲张静脉出血患者中的临床应用价值[J].食管疾病,2024,6(3):208-211,4.
