肝硬化门脉高压症患者的TIPS治疗

来源 :第十二届中国介入放射学学术大会 | 被引量 : 0次 | 上传用户:lihua1114110
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  目的 探讨针对肝硬化门脉高压症合并曲张静脉破裂出血患者治疗方法或手术方式的选择问题.方法 将Child C级及有内镜下活动性出血的ChildB级病人入院后24小时内随机分为TIPS覆膜支架治疗组和药物联合内镜下套扎治疗组(ET),通过16月随访比较两组再出血、并发症发生及生存情况.结果 结果显示TIPS组仅1例发生再出血(3.1%),对照组有14例(45.2%),两组比较有显著性差异(P=0.001),TIPS组的再出血率低于既往的研究结果.
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