摘要
门静脉高压症的治疗方法较多,主要是针对其最严重的并发症——食管胃底静脉曲张破裂出血。目前达成的共识是出血的当时以非手术治疗即药物、内镜和介入治疗为主,应严格掌握各种治疗方式的适应证。手术治疗主要为断流、分流和肝移植三种手术方式,虽然肝移植是惟一有效的治疗手段。鉴于我国的经济和地域差异,传统手术方式仍将占据主导地位,但手术方式选择不影响今后行肝移植为先决条件。经颈静脉肝内门体分流术(TIPS)是等待肝移植的桥梁。病人的肝脏功能储备是决定生存时间长短的最重要因素。
Although there are several types of treatment approaches for portal hypertension, its main goal has been to control gastroesphageal variceal bleeding. It is generally accepted that the non-surgical approaches such as drugs, endoscopy and intervention should be adopted when acute, bleeding occurred and the indications of various approaches should be strictly managed. The surgical approaches include devasculation, shunting and liver transplantation. While liver transplantation has been the only effective treatment method, traditional surgical approaches such as devasculation and shunting still lie the occupying position for a long-term in the future due to the difference in economy and regions. It is requisite that the choice of surgical approaches should not be able to affect liver transplantation in the future. TIPS is a bridge between controlling bleeding and liver transplantation. The reservation of liver function would decide the survival time in patients with cirrhotic portal hypertension.
出处
《中国实用外科杂志》
CSCD
北大核心
2009年第5期382-384,共3页
Chinese Journal of Practical Surgery
关键词
门静脉高压症
经颈静脉肝内门体分流术
肝移植
portal hypertension
transjugular intrahepatic portosystemic shunt
liver transplantation
作者简介
通讯作者：李宏为，E—mail：gw_vrai@yahoo．com．cn
