| 冷振鹏,吴静,卢金生,王萍,华扬,李铎,李建新.门静脉高压症介入治疗前后血流动力学变化分析[J].中国医学影像技术,2004,20(10):1592~1594 |
| 门静脉高压症介入治疗前后血流动力学变化分析 |
| Analysis of hemodynamic changes in portal system after and before interventional therapy for portal hypertension |
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| DOI： |
| 中文关键词: 彩色多普勒超声 经颈内静脉肝内门体分流术 胃冠状静脉栓塞术 部分脾静脉栓塞术 门静脉 高血压 血流动力学 |
| 英文关键词:Color Doppler flow imaging Transjugular intrahepatic portosystemic stent shunt Gastric coronary vein embolization Partial splenic artery embolization Portal vein Hypertension Hemodynamics |
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| 中文摘要: |
| 目的 探讨肝炎后门静脉高压症的多重介入治疗方法的可行性。方法 分析22例部分脾动脉栓塞术和12例行经颈内静脉肝内门体分流术并胃冠状静脉栓塞术患者的彩色多普勒检查资料。结果 经颈内静脉肝内门体分流术并胃冠状静脉栓塞术后脾静脉、门静脉管径缩小(P<0.05),门静脉、脾静脉流速流量明显增加,呈高动力状态。部分脾动脉栓塞术后脾静脉、门静脉平均血流速度降低(P<0.05),血流量明显减少(P<0.01)。结论 经颈内静脉肝内门体分流术并胃冠状静脉栓塞术若与部分脾动脉栓塞术联合运用可缓解门脉系循环高动力状态、降低门静脉压力。 |
| 英文摘要: |
| Objective To investigate feasibility of multi-interventional therapy for hepatitis portal hypertension.Methods A total of 22 patients with hypersplenism of cirrhosis following hepatitis were studied before and after partial splenic artery embolization (PSAE), and 12 cirrhosis with portal hypertension were analysed pre- and post- transjugular intrahepatic portosystemic stent shunt (TIPSS) plus gastric coronary vein emblization (GCVE).The diameter and hemodynamics of portal venous system were evaluated by color Doppler flow image (CDFI).Results The diameter and mean velocity (Vm) with flow volume for portal vein was reduced obvious after PSAE (P<0.05, P<0.01) while Vm and flow volume of portal venous system were increased and revealed high dynamic state after TIPSS and GCVE.Conclusion TIPSS plus GCVE can effectively prevent and control esophagus variceal bleeding, palliate high dynamic state of portal system circulation and reduce stress of portal vein if combined with PSAE. |
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