彩色多普勒超声在限制性经颈静脉肝内门体分流术联合食管胃底曲张静脉组织胶栓塞术中的应用-论文.pdf

《彩色多普勒超声在限制性经颈静脉肝内门体分流术联合食管胃底曲张静脉组织胶栓塞术中的应用-论文.pdf》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、塑重匡堂苤查生旦箜鱼鲞箜』GlinUltrasoundinMed，May2014，Vo1．16，No．5·297··Il盏床研究·彩色多普勒超声在限制性经颈静脉肝内门体分流术联合食管胃底曲张静脉组织胶栓塞术中的应用杨建吴敏诸葛宇征金志斌韩浩摘要目的彩色多普勒超声评价限制性经颈静脉肝内门体分流术('rips)联合食管胃底曲张静脉组织胶栓塞手术(SEVE)前后门静脉及分流道血流动力学特征。方法51例行TIPS联合SEVE患者，于术前及术后1周，1、6、12个月，超声测量门静脉内径和最大血流速度，观察门静脉主干及左右分支内血流方向和门静脉有无血栓，术后超声测量分流道支架内径和最大

2、血流速度，观察有无血流及血流方向。结果51例患者术后随访期间无一例死亡，生存率为100％；发生肝性脑病4例，发生率为8％；再出血8例，发生率为16％；支架狭窄及闭塞各2例，总发生率为8％。门静脉内径术前至术后12个月变化差异无统计学意义。门静脉血流速度术后1周，1、6、12个月较术前增大(P

3、颈静脉肝内门体分流术；食管胃底曲张静脉组织胶栓塞术，门静脉[中图法分类号]R445．1[文献标识码]AUltrasoundevaluationofrestrictivetransjugularintrahepaticportosystemicshuntcombinedwithselectiveesophagealandgastricvaricealembolizationYANGJian，WUMin，ZHUGEYuzheng，JINZhibin，HANHaoDepartmentofUltrasound，DrumTowerHospital，MedicalSchoolofNan

4、jingUniversity，Nanjing210008，ChinaABSTRACTobjectiveTodescribetIlehemodynamiccharacteristicsofthepo~alveinandstentsbeforeandaftercreationofrestrictivetransjugularintrahepaticportosystemicshunt(TIPS)combinedwithselectiveesophagealandgastricvaricealembolization(SEVE)usingcolorDopplerultrasoun

5、d．MethodsFifty—onepatientswereenrolled．Innerdiameterofportalveinandpeakflowvelocityweremeasured，andthrombusanddirectionofflowinthemain，rightandleftportalveinswereobservedusingultrasoundbeforeand1week，1，6，12mon山safteroperation．Innerdiameterofstentandpeakflowvelocityweremeasured，andbloodstre

6、amanddirectionofflowwasobservedusingultrasoundafteroperation．Results1’hesurvivalrateof51patientswas100％duringfollow-uptime．eoccurringrateofhepaticencephalopathywas8％(4／51)．rherateofrehemorrhagiawasl6％(8／51)．Theprimaryshuntdysfunctionwas8％(4／5l，2forstentstenosis，2forstentocclusion)．Therewas

7、nostatisticalsignificanceforthediameterofportalveinbeforeand12monthsafteroperation．Peakflowvelocityinportalveinincreased1week，l，6，12monthsafteroperationcomparedwiththatbeforeoperation(P<0．001)．Thepeakflowvelocityinportalveindecreased6，12monthsafteroperationcom