随着覆膜支架的广泛应用及操作技术的不断改进,基于越来越多的循证医学证据,经颈静脉肝内门体分流术(transjugular intrahepatic portosystemic shunt,TIPS)治疗门静脉高压症的作用已被广泛认识,其适应证在不断修正和更新。TIPS公认的主要适应证包括不能成功被药物或内镜下治疗控制的食管胃底静脉破裂出血(二级预防)、难治性腹水,也有研究将其作 With the extensive application of stent graft and continuous improvement of operation techniques, the role of transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of portal hypertension has been based on more and more evidence-based medicine It is widely recognized that its indications are constantly being revised and updated. Key indications for TIPS include esophageal-gastric-venous rupture (secondary prevention), refractory ascites, that can not be successfully controlled by medication or endoscopic therapy, and studies that treat it as