超声内镜引导肝内门静脉穿刺在经颈静脉肝内门体分流术中的实验研究(含视频)
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1.山东第一医科大学附属省立医院消化内科;2.山东省公共卫生临床中心肝病中心

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基金项目:

国家自然科学基金(81970533)


An experimental study of endoscopic ultrasound‑guided intrahepatic portal vein puncture in transjugular intrahepatic portosystemic shunt (with video)
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Affiliation:

Shandong Provincial Hospital Affiliated to Shandong First Medical University

Fund Project:

National Natural Science Foundation of China (81970533)

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    摘要:

    目的 探讨经颈静脉置入超声内镜并直视引导肝内门静脉穿刺在经颈静脉肝内门体分流术(transjugular intrahepatic portosystemic shunt,TIPS)中的可行性及安全性。方法 以5只比格犬为研究对象,麻醉后经颈静脉置入超声内镜,进入肝段下腔静脉及肝右静脉入口处,观察肝内门静脉情况,实时引导下穿刺门静脉并置入支架,完成TIPS。结果 5只比格犬中1只因颈外静脉管径较细无法置入超声内镜,其余4只均经颈外静脉置入超声内镜并在其实时引导下完成门静脉穿刺。完成后续支架置入、球囊扩张等操作,实验结束后动物均存活。结论 经颈静脉置入超声内镜并直视引导下肝内门静脉穿刺在TIPS中是安全可行的。

    Abstract:

    Objective To investigate the feasibility and safety of endoscopic ultrasound (EUS)-guided intrahepatic portal vein puncture through jugular vein implantation in transjugular intrahepatic portosystemic shunt (TIPS). Methods As research subjects, 5 beagle dogs were anesthetized, and EUS was placed through the jugular vein to observe the intrahepatic portal vein. Under real-time guidance, the portal vein was punctured and a stent was placed to complete the TIPS. Results Among the 5 beagles, EUS was unable to be placed in 1 due to the small diameter of the external jugular vein, and it was implanted successfully in 4 others through the external jugular vein who underwent real-time guidance of portal vein puncture. Subsequent stent placement and balloon dilation were completed. All animals survived after the experiment. Conclusion EUS-guided intrahepatic portal vein puncture through jugular vein implantation is safe and feasible in TIPS.

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李振,韩绍磊,黄广军,等.超声内镜引导肝内门静脉穿刺在经颈静脉肝内门体分流术中的实验研究(含视频)[J].中华消化内镜杂志,2023,40(10):784-787.

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  • 收稿日期:2023-02-26
  • 最后修改日期:2023-08-09
  • 录用日期:2023-03-24
  • 在线发布日期: 2023-10-10
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