摘要:目的:比较Viatorr支架与覆膜支架联合裸支架在经颈静脉肝内门体静脉分流术(transjugular intrahepatic portosystemic shunt,TIPS)治疗门静脉高压症病人中,分流道通畅率及肝性脑发病率。方法:2014年5月至2017年9月,本中心收治的肝硬化门静脉高压接受TIPS治疗的病人中,使用Viatorr支架46例,覆膜支架联合裸支架79例。对手术前后门静脉压力的变化、术后分流道通畅率及肝性脑病发病率进行比较。结果:Viatorr支架与覆膜支架联合裸支架两组手术前、后门静脉压力的变化差异无统计学意义。随访12个月,Viatorr支架组分流道通畅率97.8%,覆膜支架联合裸支架组分流道通畅率83.5%。Viatorr支架组肝性脑病发病率4.3%,覆膜支架联合裸支架组肝性脑病发病率11.4%。结论:TIPS使用Viatorr支架,可明显提高分流道近期通畅率,在肝性脑病发病率方面两者差异无统计学意义。
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