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报告了12例应用 TIPSS 并 SEEV 治疗 CPH 合并上消道出血的临床研究结果。技术成功率91.7%。分流道为10mm。门脉平均压力由术前的43.2±5.3cmH_2O,降至术后的26.8±3.4cmH_2O。术后随访6～12月。分流道狭窄1例。3个月内死亡3例。初步结果表明:1.TIPSS 是治疗 CPH 合并消化道出血的新的有效的方法,近中期疗效满意。2.TIPSS 同时行 SEEV 对减少再出血,预防食管静脉破裂出血是非常有效的。3.支架以 Wall-stent 为最佳。4.对曾有过肝性脑病,肝功能差者,要加强预防性治疗措施。
Reported 12 cases of clinical application of TIPSS and SEEV in the treatment of CPH combined with upper gastrointestinal bleeding. Technical success rate of 91.7%. Shunt for 10mm. The average portal pressure decreased from 43.2 ± 5.3cmH 2 O before surgery to 26.8 ± 3.4cmH 2 O after surgery. Follow-up 6 to 12 months after operation. Shunt narrow in 1 case. 3 cases died in 3 months. Preliminary results show that: 1.TIPSS is a new and effective method for the treatment of gastrointestinal bleeding combined with CPH, with satisfactory results in the near and middle stages. 2.TIPSS concurrent SEEV to reduce rebleeding, prevention of esophageal variceal bleeding is very effective. Stents to Wall-stent is the best. 4. Had had hepatic encephalopathy, poor liver function, to strengthen preventive treatment.