【摘要】 目的:评价经颈静脉肝内门腔静脉内支架分流术(TIPSS)的临床应用和探讨影响中远期疗效的原因。材料和方法:对9例患者的临床资料、操作过程和术后随访观察进行分析。结果:9例均成功地降低了门脉压力,随访仅1例发生了再狭窄,经扩张后再通。结论:TIPSS适合广泛用于治疗肝硬化门脉高压症。中远期疗效尚满意。术后狭窄是影响疗效的主要原因,应定期随访,及时发现及时处理,尽管狭窄和闭塞可成功地进行再通,但根本解决内膜增生的原因,尚待研究。更多还原

【Abstract】 Purpose: To evaluate the clinical application of TIPSS and to explore the cause influencing its therapeutic effectiveness. Materials and Methods: clinical data, operating procedures, and postoperating observation in 9 cases of patients have been analyzed. Results: Following using TIPSS, the hypertension of portal vein in 9 cases of patients all have been decreased successfully, only one case in 9 cases whom were followed - up taken place the restenosis but through to dilate anew it again obtained the passage. Conclusion: TIPSS can be widely applied to treat the hypertension of portal vein, and its effectiveness at mid -, long term is more satisfactory. Postoperating stenosis which became an important cause influencing therapeutic effectiveness should be followed - up periodically so that to find in time and to treat in time. Although the stenosis and the occlusion could be re - passed successfully but to clear truly the causes of intima proliferation will remain to need further studies.更多还原