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经颈静脉肝内门-腔静脉内支架分流术(TIPS)是用非外科手段治疗肝硬变、门脉高压,胃、食管静脉曲张的新技术,具有创伤小,技术成功率高,并发症少的优点。本文报告了36例(包括3例急诊TIPS),成功率为94.44%(34/36)。分流道的直径为8-10毫米。术后平均门脉压力从术前的41.67cmH2O降至24.89cmH2O,绝大多数患者腹水吸收,静脉曲张减轻或消失。我们的初步经验:TIPS能降低门脉压,控制静脉曲张破裂出血,消除腹水。是一种安全、有效的方法。TIPS的长期效果有待进一步观察。
Transjugular intrahepatic portosystemic stent shunt (TIPS) is a non-surgical treatment of cirrhosis, portal hypertension, stomach and esophageal varices, a new technology with small trauma, high technical success rate, complications Less advantages. This article reports 36 cases (including 3 cases of emergency TIPS), the success rate was 94.44% (34/36). Shunt diameter of 8-10 mm. The average postoperative portal pressure decreased from 41.67cmH2O before surgery to 24.89cmH2O. Most patients had ascites and varicose veins reduced or disappeared. Our initial experience: TIPS can reduce portal pressure, control variceal bleeding, eliminate ascites. Is a safe and effective way. The long-term effect of TIPS needs further observation.