摘要
胃静脉曲张破裂出血是肝硬化最严重并发症之一。经球囊导管阻塞下逆行静脉栓塞术(balloon-occluded retrograde transvenous obliteration,BRTO)可有效控制曲张静脉破裂出血,改善肝功能。近年来,BRTO临床应用在国际中的地位逐渐提高,成为与经皮颈内静脉穿刺肝门腔分流术(transjugular intrahepatic portosystemic shunt,TIPS)相媲美的介入治疗方式。但由于介入器械、药物以及医生的熟练程度等限制,目前BRTO在我国普及性不足,以致其临床价值常被忽视。文章就BRTO起源发展、适应证、禁忌症、操作流程、改良方式及并发症等作一综述。
Gastric varices bleeding is one of the most serious complications of liver cirrhosis.Balloon-retrograde transvenous obliteration(BRTO)can effectively control variceal bleeding and improve liver function.In recent years,the status of BRTO clinical application in the world is gradually improving,which has become an interventional therapy comparable to transjugular intrahepatic portosystemic shunt(TIPS).However,due to the limitations of interventional instruments,drugs,and doctors'proficiency,BRTO is not widely used in China,so that its clinical value is often ignored.This article reviews the origin and development,indications,contraindications,operation procedures,complications,and improved methods of BRTO.
作者
梁奇伟
黄益
唐郁宽
陈汉威
Qiwei Liang;Yi Huang;Yukuan Tang;Hanwei Chen(Minimally Invasive Interventional Department,Panyu People′s Hospital,Medical Imaging of Panyu Institute,Guangdong Guangzhou 511400,China)
出处
《中华介入放射学电子杂志》
2022年第4期436-443,共8页
Chinese Journal of Interventional Radiology：electronic edition
基金
广州市番禺区科信局一般医疗卫生项目(2019-Z04-34,2020-Z04-027)
作者简介
通信作者:陈汉威,Email:doctorwei@sina.com
