TIPS手术的短期临床疗效分析-临床医学专业论文.docxVIP

PAGE IV PAGE IV The Analysis of clinical efficacy of Tansjugular lntrahepatic Portosystemic Stent in the short term Abstract The Analysis of clinical efficacy of Tansjugular lntrahepatic Portosystemic Stent in the short term Abstract Objective Discussion the analysis of clinical efficacy of Tansjugular lntrahepatic Portosystemic Stent on portal hypertension esophageal gastric varices in the short term Materials and methods A retrospective analysis from 2012 May to 2013 October of clinical data of 15 patients with portal hypertension esophageal gastric varices who was performed TIPS operation.The postoperative patients were followed up for half a year, count up the complications related the operation and the rate of rebleeding, and compare preoperative liver CT MPR (multi-plannar reconstruction) data with 15 cases of non portal hypertension esophageal varices in liver CT MPR data. Results In 15 cases of TIPS patients were live in the six months after opertation without recurrence of bleeding, postoperative complications and the rate of postoperative complications: neck hematoma 26.7%, hepatic encephalopathy 86.7%, infection 0%, without the occurrence of stent stenosis or occlusion. Two groups of patients with MPR data of hepatic CT show: the two groups of patients the angle of the middle hepatic vein and inferior vena cava, the angle of the right hepatic vein and inferior vena cava, the angle of the middle hepatic vein and portal vein angle significantly has great statistical significance (P 0.05). Conclusion (1)Tansjugular lntrahepatic Portosystemic Stent is an effective method for the treatment of portal hypertension variceal hemorrhage,with the advantages of reasonable design ,simple and safe operation,less inasie and obervous hemostatic effect. The clinical effect was better than surgical devascularization operation in a short time，it can really improve the quality of life for the stage of cirrhotic patients. (2)Taking abdominal CT before TIPS operation, accor