经颈内静脉肝内门体分流术治疗肝硬化门脉高压症56例
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秦建平, 蒋明德, 曾维政, 邓 旦, 徐 辉,
经颈内静脉肝内门体分流术;治疗;肝硬化;门脉高压症秦建平,蒋明德,曾维政,邓旦,徐辉,吴晓玲,汪庆华,顾明.经颈内静脉肝内门体分流术治疗肝硬化门脉高压症56例. 世界华人消化杂志2006;
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秦建平, 蒋明德, 曾维政, 徐辉, 吴晓玲, 成都军区总医院消化内科 四川省成都市 610083
邓旦, 成都军区总医院超声科 四川省成都市 610083
汪庆华, 顾明, 成都军区总医院放射科 四川省成都市 610083
通讯作者: 秦建平, 610083, 四川省成都市, 成都军区总医院消化内科. jpqqing@163.com
电话: 028-86570709
收稿日期: 2006-03-29 接受日期: 2006-04-12
Transjugular intrahepatic portosystemic shunt in treatment of 56 patients with cirrhosis and portal hypertension
Jian-Ping Qin, Ming-De Jiang, Wei-Zheng Zeng, Dan Deng, Hui Xu, Xiao-Ling Wu, Qing-Hua Wang, Ming Gu
Jian-Ping Qin, Ming-De Jiang, Wei-Zheng Zeng, Hui Xu, Xiao-Ling Wu, Department of Gastroenterology, General Hospital of Chengdu Military Command, Chengdu 610083, Sichuang Province, China
Dan Deng, Department of Ultrasound, General Hospital of Chengdu Military Command, Chengdu 610083, Sichuang Province, China
Qing-Hua Wang, Ming Gu, Department of Radiology, General Hospital of Chengdu Military Command, Chengdu 610083, Sichuan Province, China
Correspondence to: Jian-Ping Qin, Department of Gastroenterology, General Hospital of Cheng Du Amy Region, Cheng Du 610083, Si Chuan Province, China. jpqqing@163.com
Received: 2006-03-29 Accepted: 2006-04-12
Abstract
AIM: To observe the clinical effect and complications of transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of liver cirrhosis with portal hypertension.
METHODS: Fifty-six patients of liver cirrhosis with portal hypertension were treated with TIPS. Portal pressure, flow rate of portal blood, flow rate in the shunt, internal diameter of portal and splenic veins, blood routine before and after TIPS were measured, respectively.
RESULTS: TIPS was successfully performed in all the 56 patients (100%). The portal pressure (cmH2O) post-TIPS was 22.5 ± 3.5 (P < 0.01 vs pre-TIPS 43.5 ± 4.5). The flow rate of portal blood (cm/s) post-TIPS was 12.5 ± 4.0 (P < 0.01 vs pre-TIPS 46 ......
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