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自Richter等首次采用经颈静脉肝内门-腔静脉支架分流术(TIPSS),治疗肝硬化门脉高压的报告发表以来,在欧美得到迅速的开展和普及。在我国1993年由徐克首先报道,近年来也得到了广泛的普及和推广。 TIPSS是利用Schildinger法经颈静脉送入导管鞘后,利用导管、导丝的操作,将带有角度的穿刺针送入肝静脉(一般为右肝静脉),从据肝静脉汇入下腔静脉开口处2cm左右由肝静脉向门静脉(一般为门脉右支)内穿刺。穿刺成功后,利用导丝将气囊导管送至肝静脉和门静脉之间的肝实质段,扩张通道。在导丝的引
Since Richter et al first introduced transjugular intrahepatic portosystemic stent shunt (TIPSS) for the treatment of cirrhotic portal hypertension, it has been rapidly developed and popularized in Europe and the United States. It was first reported by Tsui Hk in 1993 in our country and it has also been widely popularized and popularized in recent years. TIPSS is the use of Schildinger method through the jugular vein into the catheter sheath, the use of catheter, guide wire operation, the angle of the needle into the hepatic vein (usually the right hepatic vein) from the hepatic vein into the inferior vena cava Open about 2cm from the hepatic veins to the portal vein (usually right portal vein) within the puncture. After successful puncturing, the balloon catheter is delivered to the hepatic parenchyma between the hepatic veins and portal veins by means of a guidewire to expand the channel. Lead in the guide wire