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肝硬化经颈静脉肝内门体分流术术前常见影像学评估方法及进展
作者:葛娜  何茜 
单位:昆明医科大学第四附属医院 放射科, 云南 昆明 650021
关键词:肝硬化 经颈静脉肝内门体分流术 超声 计算机体层摄影术 磁共振成像 综述 
分类号:R445.9
出版年·卷·期(页码):2017·36·第四期(605-609)
摘要:

经颈静脉肝内门体分流术(transjugular intrahepatic portosystemic shunt,TIPS)是在肝静脉和门静脉之间创建肝内分流通道,有效控制肝硬化门静脉高压所致并发症的微创治疗方法。术前准确判断肝硬化Child-Pugh分级及肝脏储备功能,发现肝内变异血管,观察肝静脉和门静脉形态走行及测量两者间距离,了解肝血管有无狭窄、有无血栓形成,对决定是否能行TIPS术、TIPS治疗方案的制定及减少术后并发症、判断手术预后有重要意义。目前多种影像学检查用于TIPS术前肝硬化Child-Pugh分级及肝血管的评估,在本文中作者对肝硬化门静脉高压患者TIPS术前影像学评估进行综述。

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