Abstract
目的 评价血管内支架在门静脉主干良性狭窄导致的门静脉高压中的应用价值.方法 6例门静脉良性狭窄患者(其中炎症性狭窄3例,肝硬化肝移植术后3例)实施了门静脉支架置入术,观察术后门静脉压力变化、支架通畅、临床症状、并发症及患者存活情况.结果 6例患者均成功置入门静脉支架(共6枚),门静脉压力由术前的 (37.3±4.7) cm H2O(1 cm H2O=0.098 kPa)降至术后的 (18.0±1.9) cm H2O (P<0.001),患者门静脉高压症状完全缓解,无手术相关的严重并发症.平均随诊26个月(5～36个月),所有患者门静脉保持通畅,除1例患者死于肝移植后其他并发症外,其他患者均存活.结论门静脉支架置入治疗门静脉主干良性狭窄引起的门静脉高压是安全及有效的。
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