The Analysis Of Clinical Efficacy Of Tansjugular Lntrahepatic Portosystemic Stent In The Short Term

Objective Discussion the analysis of clinical efficacy of Tansjugular lntrahepaticPortosystemic Stent on portal hypertension esophageal gastric varices in the short termMaterials and methods A retrospective analysis from2012May to2013October ofclinical data of15patients with portal hypertension esophageal gastric varices who wasperformed TIPS operation.The postoperative patients were followed up for half a year,count up the complications related the operation and the rate of rebleeding, and comparepreoperative liver CT MPR (multi-plannar reconstruction) data with15cases of non portalhypertension esophageal varices in liver CT MPR data.Results In15cases of TIPS patients were live in the six months after opertationwithout recurrence of bleeding, postoperative complications and the rate of postoperativecomplications: neck hematoma26.7%, hepatic encephalopathy86.7%, infection0%,without the occurrence of stent stenosis or occlusion. Two groups of patients with MPRdata of hepatic CT show: the two groups of patients the angle of the middle hepatic veinand inferior vena cava, the angle of the right hepatic vein and inferior vena cava, the angleof the middle hepatic vein and portal vein angle significantly has great statisticalsignificance (P <0.05).Conclusion (1)Tansjugular lntrahepatic Portosystemic Stent is an effective method forthe treatment of portal hypertension variceal hemorrhage,with the advantages of reasonabledesign,simple and safe operation,less inasie and obervous hemostatic effect. The clinicaleffect was better than surgical devascularization operation in a short time，it can reallyimprove the quality of life for the stage of cirrhotic patients.(2)Taking abdominal CTbefore TIPS operation, according to the reconstruction of MPR can effectively guide theoperation doctor choose the puncture point and the appropriate puncture angle in operation,it will reduce the damage to the liver puncture in the operation process, and reduce theoccurrence of postoperative stent stenosis and occlusion rate, it will be more conducive tothe recovery of postoperative patients...