Efficacy of transjugular intrahepatic portosystemic shunt in treatment of sinusoidal obstruction syndrome caused by gynura segetum
10.3760/cma.j.issn.1007-8118.2019.06.005
- VernacularTitle:经颈静脉肝内门体分流术治疗土三七致肝窦阻塞综合征的疗效
- Author:
Wei SONG
1
;
Qingqiao ZHANG
;
Hao XU
;
Ning WEI
;
Hongtao LIU
;
Jinchang XIAO
;
Wenliang WANG
;
Zhikang GAO
;
Duntao LYU
;
Buqiang ZHUANG
Author Information
1. 徐州医科大学附属医院介入放射科
- Keywords:
Portasystemic shunt,transjugular intrahepatic;
Gynura segetum;
Sinusoidal obstruction syndrome
- From:
Chinese Journal of Hepatobiliary Surgery
2019;25(6):418-421
- CountryChina
- Language:Chinese
-
Abstract:
Ohjective To evaluate the safety and efficacy of transjugular intrahepatic portosystemic shunt (TIPS) in the treatment of sinusoidal obstruction syndrome (SOS) caused by gynura segetum.Methods The clinical data of 9 patients with SOS caused by gynura segetum (5 males and 4 females) who underwent TIPS were retrospectively analyzed from February 2017 to June 2018.The Child-Pugh scores were (9.5 ± 1.3) and the MELD scores were (12.5 ± 5.0).The success rates,complications and follow-up results were evaluated.Results TIPS was performed successfully in all the 9 patients.The portal venous pressure gradient dropped from (22.4 ± 2.7) mmHg to (10.4 ± 3.2) mmHg (P ＜ 0.05).There was no complication such as abdominal hemorrhage and biliary peritonitis.Nine patients were followed-up for 1 ～17months,mean 7.8 ± 6.0 months.One month after treatment,the Child-Pugh scores were (7.1 ± 1.8),compared with that of the preoperative scores,the difference was statistically significant (P ＜ 0.05).The MELD scores were (5.3 ± 4.6),compared with that of the preoperative scores,the difference was also statistically significant (P ＜ 0.05).At the end point of the follow-up,color Doppler ultrasound and portal CTA showed that the TIPS shunt was patent and hepatic congestion was relieved in all the 9 patients.All patients were alive.Conclusion TIPS was a safe and efficacious treatment for SOS caused by gynura segetum.
