ChangesofhepatichemodynamicsinpatientstreatedwithTIPS+GCVEcombinedwithPSE
10.3969/j.issn.1002-1671.2019.07.025
- VernacularTitle:TIPS+GCVE联合PSE术后患者肝脏血流动力学的研究与分析
- Author:
Shimeng SUN
1
;
Yu WU
;
Yubiao LI
;
Zhenwu LEI
;
Haiming YANG
;
Cunkai MA
;
Yingxing GUO
Author Information
1. 青海大学附属医院介入科
- Keywords:
transjugularintrahepaticportosystemicshunt;
partialsplenicembolization;
gastriccoronaryveinembolization;
hemodynamics
- From:
Journal of Practical Radiology
2019;35(7):1132-1135
- CountryChina
- Language:Chinese
-
Abstract:
Objective ToexploretheeffectofTIPS+GCVEcombinedwithPSEonhemodynamicsinpatientswithlivercirrhosis,portal hypertensionandsplenomegaly.Methods 56patientswereincludedfromJanuary2015toDecember2016 whounderwentTIPS+GCVEcombinedwithPSE.Patientswerefollowed-upon1month,3months,6monthsand1yearaftersurgery,andstatisticanalysis weredoneonportalveinhemodynamicindex:portalveintrunkdiameter(PVD),portalveinvelocity(PVV),portalvenousbloodflow (PVF),splenicveintrunkdiameter(SVD)andvelocityofbloodflowinsplenicvein(SVV).Results Thereweresignificantdifferencesinportal veinpressurebeforeandafterthebypassinall56patients.PVDandPVV weresignificantlydifferentbetween3and6 monthsafter surgeryandpre-surgery.PVF wassignificantlydifferentcomparing6 monthsand1yearaftersurgery withpre-surgery.SVDand SVV weresignificantlydifferentbetween3 months,6 monthsand1yearaftersurgeryandpre-surgery.Conclusion TIPS+GCVE combinedwithPSEcouldeffectivelyreduceportalveinpressure,improveportalveinandspleenveinbloodflow,increaseportalvenousblood flow,andimprovepatients’liverfunction.
