CAJ | 학술논문

目的探讨经颈静脉肝内门体分流术(TIPS)途径介入治疗门静脉系统血栓的可行性、安全性和治疗效果.方法 13例门静脉系统血栓合并门脉高压症患者中8例门静脉主干完全堵塞,5例门静脉主干及分支有不同程度栓塞.结果 13例患者中12例成功行TIPS治疗,1例失败,技术成功率为92.3％,平均门脉压力从术前42 cm H2O降至24 cm H2O,平均降低18 cm H2O,上消化道出血、腹水减少或消失,症状缓解.结论经TIPS途径介入治疗门静脉系统血栓有技术可行性,且具有创伤小、操作安全等优点,内科保守治疗无效又无外科手术适应证的患者应考虑选用本项技术,门静脉系统血栓形成患者通过该方法治疗可以获得较好的近中期效果.
목적 탐토경경정맥간내문체분류술(TIPS)도경개입치료문정맥계통혈전적가행성、안전성화치료효과.방법 13례문정맥계통혈전합병문맥고압증환자중8례문정맥주간완전도새,5례문정맥주간급분지유불동정도전새.결과 13례환자중12례성공행TIPS치료,1례실패,기술성공솔위92.3％,평균문맥압력종술전42 cm H2O강지24 cm H2O,평균강저18 cm H2O,상소화도출혈、복수감소혹소실,증상완해.결론 경TIPS도경개입치료문정맥계통혈전유기술가행성,차구유창상소、조작안전등우점,내과보수치료무효우무외과수술괄응증적환자응고필선용본항기술,문정맥계통혈전형성환자통과해방법치료가이획득교호적근중기효과.
Objective To study and evaluate the technique feasibility,safety and curative effect of the interventional radiological techniques through transjugular intrahepatic portosystemic shunt(TIPS) route for management of portal venous system thrombosis.Methods Thirteen patients with portal venous thrombosis and portal hypertension were treated using interventional radiological techniques through TIPS avenue.There were 8 cases with complete occlusion of portal vein trunk and 5 cases with incomplete thrombosis.Results Twelve cases of patients were successfully procedured using interventional radiological techniques through TIPS avenue and 1 patient failed.The successful rate was about 92.3％.The mean portal vein pressure reduced from 42 cm H2O to 24 cm H2O with average 18 cm H2O reduction.Ascites decreased,bleeding stopped and the clinical symptoms disappeared.Conclusions The interventional radiological techniques through TIPS avenue for management of portal venous thrombosis is minimally-invasive,significantly effective and safe,it might be a treatment option in certain patients whose clinical symptoms can not be controlled by medical conservative treatment,and has no surgery indication too.