直接性肝内门体静脉分流术治疗门静脉高压现状

摘要

Transjugular intrahepatic portosystemic shunt (TIPS) is a surgery which was commonly used in portal hypertension therapy.It can control and prevent the complication caused by portal hypertension,such as esophageal gastric-fundus variceal bleeding.However,there is a fundamental flaw in the TIPS due to its lack of maintaining a long-lasting and effective shunt,and most of the stenosis or occlusion are in the draining vein:the hepatic vein.Accompanied by direct intrahepatic portosystemic shunt (DIPS),which has shown its advantage compared with traditional TIPS operation,such as the block of hepatic vein can be avoided,the radiation dose as well as the operation time is lesser,DIPS is safer and so on.Here we reviewed to present a brief introduction of DIPS development history and core concerns of the major medical centers at present.%经颈静脉肝内门体静脉分流术(TIPS)是临床上治疗门静脉高压症的常用手术方式,可以有效控制门静脉高压相关并发症,如食管胃底静脉曲张破裂出血等.然而,TIPS存在不能长期保持有效分流道通畅的缺点,例如,多数狭窄或闭塞位于其引流静脉一肝静脉.随着直接性肝内门体静脉分流术(DIPS)在临床的应用,已显示出与传统TIPS手术相比的优势.例如DIPS手术无肝静脉途径的分流通道,避免了肝静脉阻塞,以及辐射剂量减少、手术时间减少和安全性增加等.本文回顾了目前国内外关于TIPS(含DIPS)的文献,简要介绍DIPS的发展历程和目前DIPS的关注点.