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首页 > 医学词汇大全 > Transjugular Intrahepatic Portosystemic Shunt
Transjugular Intrahepatic Portosystemic Shunt

消化

关键词消化 治疗方法 临床治疗

词汇介绍

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解析

transjugular  [trænz'kæθetər]  [trænz'kæθetər]

释    义   adj. 经颈静脉的

例    句   A traditional method for internal jugular vein catheterization has been through the transjugular approach.

颈内静脉插管的传统是通过颈内静脉。

 

intrahepatic  [ɪntrəhɪ'pætɪk]  [ɪntrəhɪ'pætɪk]

释    义   adj. [解剖] 肝内的

例    句   Comparison of intrahepatic and subcutaneous suicide cell based vaccinations.

肝内和皮下接种疫苗基础的自杀细胞的比较。

 

portosystemic  [pɔ:təʊsɪs'temɪk]  [pɔ:toʊsɪs'temɪk]

释    义   adj. 门体静脉的

例    句   Cannabinoid receptor 2 agonist ameliorates mesenteric angiogenesis and portosystemic collaterals in cirrhotic rats.

在肝硬化鼠中大麻素受体2激动剂改善肠系膜血管生成及门脉侧支形成。

 

Shunt  [ʃʌt]  [ʃʌt]

释    义   vt. 关闭;停业;幽禁vi. 关上;停止营业n. 关闭adj. 关闭的;围绕的

n. (Shut)人名;()舒特;()(广东话·威妥玛)

同根词   n. shutter 快门;百叶窗;关闭物;遮板

n. shutting 闭锁

v. shutting 关闭(shuting形式)

vt. shutter 为…装百叶窗;以百叶窗遮闭

例    句   The atrioventricular valves are flap valves that are forced shut during contraction of the ventricles.

房室瓣是瓣状瓣膜,它在心室收缩时关闭。


概述

经颈静脉肝内门体静脉分流术( transjugular intrahepatic portosystemic shunt,TIPS)是使用可扩张性金属支架建立肝内门体静脉分流的治疗方法。是治疗门脉高压、上消化道出血的介入放射学新疗法。它利用外科分流原理,通过一系列介入器具的使用,在肝实质内肝静脉与门静脉间建立起人工分流通道,从而降低门脉压力、减少或消除由于门脉高压所致的食道静脉曲张破裂出血、腹水等症状。 适应症(1)门静脉高压症伴胃食管静脉曲张破裂出血(含急性大出血)。(

Long-term effects and complications of the transjugular intrahepatic portosystemic shunt: a single-centre experience复制标题

经颈静脉肝内门体分流术的远期疗效和并发症: 单中心经验

发表时间:2019-06-16

影响因子:2.2

作者: Kraglund F

期刊:Scand. J. Gastroenterol

The transjugular intrahepatic portosystemic shunt (TIPS) procedure is a standard treatment for portal hypertension [1]. Though the treatment has been used since 1988 [2], we need more accurate data on its clinical effectiveness and side effects. Most patients with a TIPS have liver cirrhosis, and the commonest indications are variceal bleeding and refractory ascites[3]. Hepatic encephalopathy (HE) and stent dysfunctions are the most feared long-term complications of the procedure[4]. Since both the indications for and the complications of TIPS are debilitating conditions, accurate estimates of the chances of successful treatment and the risks of adverse outcomes are valuable to both patient and clinician. While other TIPS centres have studied the effects of TIPS treatment extensively [5–16], the studies all use Kaplan–Meier estimation of times to adverse outcomes, but the Kaplan–Meier estimator is only appropriate when there are no outcomes competing with the outcomes of interest, and as a result previous studies have overestimated the true risk [17]. Furthermore, some nuances are missing from previous studies. First, none of them has considered the incidence of minimal HE, which is a precursor of overt HE. Minimal HE can be diagnosed by an abnormal measurement of the continuous reaction times (CRT) index.

译文

经颈静脉肝内门体分流术(TIPS)是门静脉高压症的标准治疗方法[1]。虽然自1988年以来一直使用该治疗[2],但我们需要更准确的临床有效性和副作用数据。大多数TIPS患者患有肝硬化,最常见的症状是静脉曲张出血和难治性腹水[3]。肝性脑病(HE)和支架功能障碍是该手术最令人担心的长期并发症[4]。由于TIPS的适应症和并发症都是使人衰弱的条件,因此准确估计成功治疗的可能性和不良后果的风险对患者和临床医生都是有价值的。虽然其他TIPS中心广泛研究了TIPS治疗的效果[5-16],但研究都使用Kaplan-Meier估计不良结果的时间,但Kaplan-Meier估计仅适用于没有结果与结果竞争的情况。感兴趣,因此以前的研究高估了真正的风险[17]。此外,以前的研究遗漏了一些细微差别。首先,他们都没有考虑过最低HE的发生率,这是明显HE的前兆。最小的HE可以通过连续反应时间(CRT)指数的异常测量来诊断。