经颈静脉肝内门体分流术后门静脉压力下降程度对预后影响的相关进展
通信作者:,zhaogongfangedu@163.com(ORCID:0000-0001-9178-1567)
Research advances in the impact of reduction in portal venous pressure after transjugular intrahepatic portosystemic shunt on prognosis
BAO Yanqing,WANG Yu,ZHANG Zhijiao,ZHENG Mengyao,HUANG Hua,ZHAO Gongfang
DepartmentofGastroenterology,TheecondAfliatedHspitalofKunmingedicalUniversity,Kunmng65oooChina
Corresponding author: ZHAO Gongfang,zhaogongfangedu@163.com(ORCID: 0000-0001-9178-1567)
Abstract:Transjugular intrahepaticportosystemicshunt(TIPS)isanimportantintervention forportal hypertension,andthe degreeofeductioninportalveouspresueiscloselyassociatedwiththeprognosisofpatintsWhileagreatereductioportal venouspressuremayleadtomorefectiveallviationofportalhypertensivesymptomsincihoticpatients,italsoincreasesthe riskofhepaticencephalopathyandliverfailure.Therefore,appropriatecontrolofthedegeeofreductioninportalvenouspresure is essentialforoptimizing therapeuticoutcomes.Thisarticlereviews themethodsformeasuringportalvenouspressure,thefactors ffctingthereductioninportalvenouspressure,theoptimalrangeforreductionindiferentindications,andtheimpactofvarying degreesof pressrereductiononcomplications,inorder toprovide guidanceforimproving thetreatmentoutcomeofTPSandthe prognosis of patients after surgery.
KeyWords:Portasystemic Shunt,Transjugular Intrahepatic;Portal Hypertension;Portal Pressure
Researchfunding:Yunnan Province“TenThousandTalents Plan”Special MedicalTalent Initiative(YNWR-MY-2019-074)
门静脉高压症是一种由肝内或肝外因素引起的门静脉压力升高而导致的临床并发症,如腹水、肝性脑病(HE)及静脉曲张出血,这些并发症死亡风险高[1]。(剩余20711字)