摘要
肝性脑病(HE)是经颈静脉肝内门体分流术(TIPS)术后常见的并发症之一,影响HE发生的因素复杂,且发病机制尚不十分清楚,如何减少TIPS术后HE的发生,一直是临床关注的问题。有关TIPS操作对术后HE影响方面的研究,国内外均有相关报道,对研究的结果,有些可达成共识意见,有些还存在分歧。本文拟对TIPS术中穿刺门静脉左或右支分流、选择不同内径球囊扩张通道及门静脉压力梯度降低程度等因素对术后HE影响进行综述,为优化TIPS操作,减少术后HE发生提供参考依据。
Hepatic encephalopathy(HE)is one of the common complications after transjugular intrahepatic portosystemic shunt(TIPS),with complex influencing factors and an unknown pathogenesis,and how to reduce HE after TIPS has always been a clinical concern.There are reports on the influence of TIPS on postoperative HE both in China and globally,and a consensus has been reached on some of the research results,while there are still controversies over other results.This article reviews the influencing factors for postoperative HE,such as puncture of the left or right portal vein shunt during TIPS,balloon dilatation channels with different inner diameters,and the degree of reduction in hepatic venous pressure gradient,so as to provide a reference for optimizing the operation of TIPS and reducing the onset of postoperative HE.
作者
其七
姚欣
杨国栋
秦建平
QI Qi;YAO Xin;YANG Guodong;QIN Jianping(Clinical Medical College of North Sichuan Medical College,Nanchong,Sichuan 637000,China;Department of Gastroenterology,The General Hospital of Western Theater Command of Chinese People’s Liberation Army,Chengdu 610083,China;Department of Gastroenterology,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China)
出处
《临床肝胆病杂志》
CAS
北大核心
2023年第8期1966-1971,共6页
Journal of Clinical Hepatology
基金
原成都军区总医院基金项目(2013YG-B009)。
关键词
门体分流术
经颈静脉肝内
肝性脑病
肝硬化
门静脉高压
Portasystemic Shunt,Transjugular Intrahepatic
Hepatic Encephalopathy
Liver Cirrhosis
Portal Hypertension
作者简介
通信作者:秦建平,jpqqing@163.com(ORCID:0000-0001-7834-8830)。
