跨内肝移植系统式支架转移的好处和限制
Salvatore Stefano Sciarrone1, Lucia Fini2, Luca De Luca2
1Department of Surgery, Gastroenterology and Digestive Endoscopy Unit, ASST Santi Paolo e Carlo, University of Milan, Milan 20142, Lombardy, Italy. salvo.sciarrone@gmail.com.
World journal of gastrointestinal surgery
|January 28, 2025
概括
跨内肝移植系统式支架 (TIPSS) 提供了一种不那么侵入性的替代方案,用于管理门脉高压并发症. 本综述探讨了其在临床实践中的有效性和当前作用.
科学领域:
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
- 血管外科 血管外科
背景情况:
- 跨内肝移植系统性支架 (TIPSS) 是一种建立的程序,用于创建肝内移植系统的支架.
- 它已经发生了显著的进化,为管理门门高血压并发症提供了非手术的选择.
研究的目的:
- 审查TIPSS在管理与门高血压相关的各种并发症中的临床实用性.
- 根据现有证据和流行病学发现,评估TIPSS在临床实践中的当前地位.
主要方法:
- 对TIPSS检查门高血压并发症的研究进行文献综述.
- 分析TIPSS的临床实用性,有效性和缺点.
主要成果:
- 提普斯在治疗水出血,,肝脏胸水和肝综合征方面是有效的.
- 潜在的缺点包括分流狭窄和肝脏脑病变.
结论:
- TIPSS是手术转移的有价值替代品,特别是对于那些不适合手术的严重肝病患者.
- 需要进一步评估,以确定其在门高血压管理当前临床实践中的确切作用.
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