北京大学学报(医学版) ›› 2025, Vol. 57 ›› Issue (5): 1010-1013. doi: 10.19723/j.issn.1671-167X.2025.05.030

• 短篇论著 • 上一篇    

液-固兼用曲张静脉栓塞技术联合专用支架在经颈内静脉肝内门体分流术中的应用

宋畅1,2, 冯琦琛1, 杨广鑫1, 刘启佳1, 王昌明1,*(), 李选1   

  1. 1 北京大学第三医院介入血管外科, 北京 100191
    2 郑州人民医院血管外科, 郑州 450003
  • 收稿日期:2022-12-04 出版日期:2025-10-18 发布日期:2024-02-05
  • 通讯作者: 王昌明

宋畅1,2, 冯琦琛1, 杨广鑫1, 刘启佳1, 王昌明1,*(), 李选1   

  • Received:2022-12-04 Online:2025-10-18 Published:2024-02-05
  • Contact: 王昌明

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关键词: 经颈内静脉, 肝内门体分流术, 门脉高压症, 食管胃底静脉曲张, 难治性腹水

中图分类号: 

  • R654.4

表1

TIPS前后患者生化检验指标变化情况"

Items Pre-operation 3 days after operation 1 month after operation 3 months after operation 6 months after operation
Total bilirubin/(μmol/L) 33.99±24.45 48.15±31.78* 49.56±30.82* 38.80±19.44 29.98±9.01
Albumin/(g/L) 32.34±5.29 28.29±3.68* 34.06±3.73 31.02±5.08 33.70±3.90
Creatinine/(μmol/L) 65.92±23.09 59.08±17.01* 66.99±15.74 66.73±18.16 70.67±14.21
Prothrombin time/s 16.09±3.48 19.00±4.20* 17.79±4.87 19.58±10.34 14.78±1.49
1
曹家伟, 丁鹏绪, 段峰, 等. 中国门静脉高压经颈静脉肝内门体分流术临床实践指南(2019年版)[J]. 临床肝胆病杂志, 2019, 35 (12): 2694- 2699.
2
王昌明, 李选, 傅军, 等. 组合支架精确覆盖技术与单一覆膜支架技术的前瞻性随机对照研究[J]. 介入放射学杂志, 2014, 23 (1): 18- 23.
3
赵世录, 王昌明, 傅军, 等. 组合支架在经颈静脉肝内门体分流术中应用的随访结果[J]. 中国微创外科杂志, 2018, 24 (4): 294- 297.
4
Wang CM , Li X , Fu J , et al. Construction of transjugular intrahepatic portosystemic shunt: Bare metal stent/stent-graft combination versus single stent-graft, a prospective randomized controlled study with long-term patency and clinical analysis[J]. Chin Med J (Engl), 2016, 129 (11): 1261- 1267.

doi: 10.4103/0366-6999.182830
5
林志鹏, 赵剑波, 陈斯良. 采用Viatorr覆膜支架建立经颈静脉肝内门体静脉分流术的中期疗效分析[J]. 中华肝脏病杂志, 2019, 27 (6): 440- 444.
6
Saad WE , Darwish WM , Davies MG , et al. Stent-grafts for transjugular intrahepatic portosystemic shunt creation: Specialized TIPS stent-graft versus generic stent-graft/bare stent combination[J]. J Vasc Interv Radiol, 2010, 21 (10): 1512- 1520.

doi: 10.1016/j.jvir.2010.06.009
7
周昊, 姚欣, 汤善宏, 等. 43例采用Viatorr支架行经颈静脉肝内门体分流术的临床研究[J]. 中华肝脏病杂志, 2021, 29 (1): 54- 59.
8
马鹍鹏, 梁松年, 钟红珊, 等. Viatorr支架行TIPS术治疗门静脉高压性静脉曲张消化道出血效果评估[J]. 介入放射学杂志, 2020, 29 (4): 380- 384.
9
孙旻煌, 李迎春, 李松蔚, 等. Viatorr支架在TIPS治疗中的应用[J]. 介入放射学杂志, 2019, 28 (2): 166- 169.
10
Li YH , Wan YM , Wu HM , et al. Elective transjugular intrahepatic portosystemic shunt using Viatorr stent-grafts: A single-center experience from China[J]. J Belg Soc Radiol, 2022, 106 (1): 62.

doi: 10.5334/jbsr.2741
11
Kraglund F , Jepsen P , Amanavicius N , et al. Long-term effects and complications of the transjugular intrahepatic portosystemic shunt: A single-centre experience[J]. Scand J Gastroenterol, 2019, 54 (7): 899- 904.

doi: 10.1080/00365521.2019.1630675
12
Wang Q , Lv Y , Bai M , et al. Eight millimetre covered TIPS does not compromise shunt function but reduces hepatic encephalopathy in preventing variceal rebleeding[J]. J Hepatol, 2017, 67 (3): 508- 516.

doi: 10.1016/j.jhep.2017.05.006
13
Schepis F , Vizzutti F , Garcia-Tsao G , et al. Under-dilated TIPS associate with efficacy and reduced encephalopathy in a prospective, non-randomized study of patients with cirrhosis[J]. Clin Gastroenterol Hepatol, 2018, 16 (7): 1153- 1162.

doi: 10.1016/j.cgh.2018.01.029
14
Pieper CC , Sprinkart AM , Nadal J , et al. Postinterventional passive expansion of partially dilated transjugular intrahepatic portosystemic shunt stents[J]. J Vasc Interv Radiol, 2015, 26 (3): 388- 394.

doi: 10.1016/j.jvir.2014.10.021
15
Miraglia R , Maruzzelli L , Di Piazza A , et al. Transjugular intrahepatic portosystemic shunt using the new Gore Viatorr controlled expansion endoprosthesis: Prospective, single-center, preliminary experience[J]. Cardiovasc Intervent Radiol, 2019, 42 (1): 78- 86.

doi: 10.1007/s00270-018-2040-y
16
Coronado WM , Ju C , Bullen J , et al. Predictors of occurrence and risk of hepatic encephalopathy after TIPS creation: A 15-year experience[J]. Cardiovasc Intervent Radiol, 2020, 43 (8): 1156- 1164.

doi: 10.1007/s00270-020-02512-7
17
Fonio P , Discalzi A , Calandri M , et al. Incidence of hepatic encephalopathy after transjugular intrahepatic portosystemic shunt (TIPS) according to its severity and temporal grading classification[J]. Radiol Med, 2017, 122 (9): 713- 721.

doi: 10.1007/s11547-017-0770-6
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