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目的 :探讨经颈静脉肝内门体静脉分流治疗肝小静脉闭塞综合征的临床疗效。方法 :选用覆膜支架行TIPS治疗肝小静脉闭塞综合征一例,分析患者术后门静脉压力变化及临床症状变化。结果 :术后患者尿量明显增多,腹水消失,腹胀减轻,随访14月无复发。结论:慢性期的HVOD出现门静脉高压综合征,选择门体静脉分流术,可明显缓解患者临床症状,可做为其首选治疗方案。
Objective: To investigate the clinical efficacy of transjugular intrahepatic portosystemic shunt for the treatment of hepatic venular occlusive syndrome. Methods: Tissue stent-graft TIPS treatment of hepatic venular occlusive syndrome in one case, analysis of postoperative portal pressure changes and clinical symptoms. Results: The postoperative urine volume increased significantly, ascites disappeared, abdominal distension decreased, and no recurrence was observed in 14 months. Conclusion: In the chronic phase of HVOD, portal hypertension appears. Choosing portosystemic shunt can obviously relieve the clinical symptoms and can be used as the first choice of treatment.