TIPS不同术式的临床疗效分析

2016-02-18杨广祥穆永旭包头医学院第一附属医院内蒙古包头0400包头医学院研究生学院内蒙古包头04040

中外医疗 2016年19期

关键词：支架

杨广祥，穆永旭.包头医学院第一附属医院，内蒙古包头　0400；2.包头医学院研究生学院，内蒙古包头　04040

TIPS不同术式的临床疗效分析

杨广祥1.2，穆永旭1
1.包头医学院第一附属医院，内蒙古包头014010；2.包头医学院研究生学院，内蒙古包头014040

目的比较经颈静脉肝内门体分流术（TIPS）不同术式的临床疗效。方法方便选取回顾性分析该院2008—2014年收治的肝硬化行TIPS术患者90例，选取穿刺门静脉左、右支各45例，比较术后肝性脑病和支架内狭窄的发生率。结果所有患者手术均成功。随访期间，穿刺门静脉左支发生肝性脑病4例，穿刺门静脉右支发生肝性脑病12例，两组比较差异有统计学意义（P＜0.05）；穿刺门静脉左支发生支架内狭窄3例，穿刺门静脉右支发生支架内狭窄11例，两组比较差异有统计学意义（P＜0.05）。结论穿刺门静脉左支建立分流道可以降低术后肝性脑病及支架内狭窄的发生率。

经颈静脉肝内门体分流术；门静脉；左支；右支

［Abstract］Objective Comparing transjugular intrahepatic portosystemic shunt（TIPS）clinical efficacy of different surgical. Methods Convenient selection and retrospective analysis of 90 cases of TIPS in patients with liver cirrhosis during 2008-2014，and 45 cases of left and right branch of portal vein were selected，and compared the incidence rate of hepatic encephalopathy and stent stenosis Results All patients were successfully operated.During follow-up，the puncture of the left branch of the portal vein occurred hepatic encephalopathy in 4 cases，the puncture of the right portal vein branches of hepatic encephalopathy in 12 cases，the difference between the two groups has statistical significance（P＜0.05）；the puncture of the left branch of the portal vein in stent stenosis in 3 cases，puncture portal vein right branches of in stent stenosis in 11 cases，two groups compared with statistical significance（P＜0.05）.ConclusionPuncture portal branch established flow can reduce postoperative hepatic encephalopathy and stent restenosis incidence。

［Key words］Transjugular intrahepatic portosystemic stent shunt；Portal vein；Left branch；Right branch

经颈静脉肝内门体分流术是肝静脉与门静脉之间建立分流道，可显著降低门静脉压力［1］。但是，TIPS术后肝性脑病和支架内狭窄的高发生率限制着TIPS术的临床应用。该文回顾性分析该科2008—2014年行TIPS术患者90例，穿刺门静脉左、右支各45例，比较其疗效，现报道如下。