The novel classification and staging of portal vein thrombosis and its corresponding treatment
10.3760/cma.j.cn113884-20250317-00088
- VernacularTitle:门静脉血栓新分期分型及其相关治疗
- Author:
Yifan LYU
1
;
Fuquan LIU
1
Author Information
1. 首都医科大学附属北京世纪坛医院肝病微创诊疗中心，北京 100038
- Publication Type:Journal Article
- Keywords:
Thrombosis;
Portal vein;
Staging and typing;
Imaging;
Treatment strategies
- From:
Chinese Journal of Hepatobiliary Surgery
2025;31(7):481-486
- CountryChina
- Language:Chinese
-
Abstract:
Portal vein thrombosis (PVT) is a common vascular obstractive disease of portal vein, often occurring in patients with liver cirrhosis, malignant tumors, and after abdominal surgery. Its clinical manifestations are diverse and often subtle, posing a challenge to treatment decisions. Traditional PVT classification systems, such as the Yerdel classification, are mainly based on anatomical characteristics but fail to fully integrate hemodynamic information and are complex. Traditional staging primarily uses symptoms and thrombus formation time as criteria, without fully incorporating imaging information, making clinical judgment difficult. This article reviews the traditional staging and classification of PVT and their limitations, and explores the introduction and application of new staging and classification systems. The new system integrates imaging and hemodynamic information, providing a more precise diagnosis and treatment guide in a concise manner to offer more precise and effective treatment options for PVT patients.
