主要肝切除后的症状性肝静脉外流阻塞的内血管治疗
Patrick Ghibes1, Christoph Artzner2,3, Sasan Partovi4
1Department for Diagnostic and Interventional Radiology, University Hospital Tuebingen, Hoppe-Seyler-Strasse 3, Tuebingen, 72076, Germany. patrick.ghibes@med.uni-tuebingen.de.
BMC gastroenterology
|July 17, 2023
概括
内血管治疗有效地解决了肝静脉狭窄症患者肝脏大切除后的ascites. 虽然这种干预措施安全有效,但并没有显著改善肝功能参数.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道手术 肝胆道手术
- 血管医学 血管医学
背景情况:
- 肝静脉狭窄是肝脏大切除后的潜在并发症.
- 耐火性炎可以显著影响患者的治疗结果和肝切除术后的生活质量.
研究的目的:
- 评估肝脏大切除后肝静脉狭窄的内血管治疗的疗效和安全性.
- 评估临床结果,包括炎解消和肝静脉通透性.
主要方法:
- 自2010年以来,对肝静脉狭窄性肝脏重大切除后干预治疗的回顾性分析.
- 评估手术成功,瘤积累,实验室值和肝血管通透度.
- 计算初级和初级辅助肝静脉通透时间.
主要成果:
- 在12名患者中进行了16次干预;技术成功率为100%.
- 72%的患者实现了永久性降低或解消.
- 随访时间中位数为6个月;在气球血管整形和支架放置之间,初级通透率有所不同.
结论:
- 血管内治疗是一种安全有效的方法,用于管理肝静脉狭窄和肝切除后耐火性.
- 该程序似乎没有改善肝功能参数.
- 支架安置是血管塑性手术后残留狭窄症的可行选择.
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