Clinical study of transjugular intrahepatic portosystemic shunt in the treatment of liver cirrhosis with different portal vein thrombosis grades
10.3969/j.issn.1002-1671.2024.10.026
- VernacularTitle:经颈静脉肝内门体分流术治疗肝硬化伴不同门静脉血栓分级的临床研究
- Author:
Ruchun LI
1
,
2
;
Jihong HU
;
Wenqiu PAN
;
Songbo ZHUO
;
Yubo ZHANG
;
Zhifu TIAN
Author Information
1. 昆明医科大学第一附属医院医学影像科,云南 昆明 650032
2. 临沧市人民医院介入科,云南 临沧 677000
- Keywords:
liver cirrhosis;
portal vein thrombosis;
gastrointestinal bleeding;
transjugular intrahepatic portosystemic shunt
- From:
Journal of Practical Radiology
2024;40(10):1690-1694
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare and analyze the clinical characteristics and efficacy of transjugular intrahepatic portosystemic shunt(TIPS)in the treatment of liver cirrhosis with different portal vein thrombosis(PVT)grades.Methods A retrospective analysis was performed on 75 patients with liver cirrhosis and gastrointestinal bleeding who received TIPS.According to the Yerdel scale of PVT,the patients were divided into type Ⅰ(34 cases),type Ⅱ(25 cases)and type Ⅲ(16 cases).The patients were followed up 1,3,6 months after TIPS and every 6 months thereafter to compare the clinical data and the efficacy of TIPS in three types of PVT patients.Results The success rate of TIPS in three types of patients was 100％.There were differences in platelet to lymphocyte ratio(PLR)and proportion of different Child-Pugh grades among the three types of patients(P＜0.05).After TIPS,portal vein pressure was decreased compared with that before TIPS(P＜0.001).However,there were no significant differences in postoperative survival rate,rebleeding rate,over hepatic encephalopathy rate,stent dysfunction rate,thrombus complete recanalization rate and thrombus recurrence rate(P＞0.05).Conclusion The success rate of TIPS in three types of patients is higher,and the portal vein pressure is decreased significantly after TIPS,but there are no significant differences in the postoperative efficacy.Although the implementation of TIPS in cirrhotic PVT patients is challenging,it is still worth the effort to reshape the portal vein for the benefit of patients.
