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Palliative treatment of TIPS to portal vein tumor thrombosis complicated with portal vein hypertension

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Author:: No author available

Journal Title:: CHINESE JOURNAL OF RADIOLOGY

Issue:: 12

DOI:: 10.3760/j.issn:1005-1201.2002.12.005

Key Word:: 高血压,门静脉;肿瘤循环细胞;门体分流术,经颈静脉肝内;放射学,介入性

Abstract：目的评价门静脉癌栓(portal vein tumor thrombosis, PVTT)合并门脉高压症患者行经颈静脉肝内门体静脉分流术(transjugular intrahepatic portosystemic shunt,TIPS)姑息治疗的疗效,并讨论其技术特点.方法本组报告14例终末期肝癌合并门静脉癌栓及门静脉高压症患者,平均年龄53.6岁.8例门静脉主干完全堵塞,6例门静脉主干及分支有不同程度栓塞,5例合并门静脉海绵样变.1例单纯上消化道大出血,3例单纯顽固性腹水,10例上消化道大出血合并顽固性腹水.结果14例中10例患者成功行TIPS治疗,门静脉压力平均从术前37.2 mm Hg(1 mm Hg=0.133 kPa)降至术后18.2 mm Hg,平均降低19.0 mm Hg,腹水减少或消失,消化道出血、腹胀、腹泻等症状缓解,平均生存132.3 d.4例失败.结论 TIPS是姑息治疗肝癌合并门静脉癌栓引起的上消化道大出血和顽固性腹水的有效方法.

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