经颈静脉肝内门体分流术治疗肝硬化患者的乳糜胸和乳糜性腹水：病例报告及文献系统综述
Transjugular Intrahepatic Portosystemic Shunt for the Treatment of Chylothorax and Chylous Ascites in Cirrhosis: A Case Report and Systematic Review of the Literature.
作者信息
Tsauo Jiaywei, Shin Ji Hoon, Han Kichang, Yoon Hyun-Ki, Ko Gi-Young, Ko Heung-Kyu, Gwon Dong-Il
机构信息
Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, 86, Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, Korea.
Department of Radiology and Research Institute of Radiology, University of Ulsan, College of Medicine, Asan Medical Center, 86, Asanbyeongwon-gil, Songpa-gu, Seoul 138-736, Korea.
出版信息
J Vasc Interv Radiol. 2016 Jan;27(1):112-6. doi: 10.1016/j.jvir.2015.09.022.
Cirrhosis-related chylothorax and chylous ascites are rare conditions. The pathophysiologic mechanism of cirrhosis-related chylous fluid collections is believed to be excessive lymph flow resulting from portal hypertension. Transjugular intrahepatic portosystemic shunt (TIPS) creation is a well-established method for reducing portal hypertension. The case of a 61-year-old man with cirrhosis-related chylothorax treated successfully with a TIPS is described. A systematic review of the literature revealed nine additional cases of chylothorax or chylous ascites treated successfully with a TIPS. These cases showed that TIPS creation may be effective and safe for the treatment of chylous fluid collections in patients with cirrhosis.
肝硬化相关的乳糜胸和乳糜性腹水是罕见病症。肝硬化相关乳糜液积聚的病理生理机制被认为是门静脉高压导致的淋巴液流量过多。经颈静脉肝内门体分流术（TIPS）是一种公认的降低门静脉高压的方法。本文描述了一名61岁患肝硬化相关乳糜胸的男性患者经TIPS治疗成功的病例。一项系统的文献综述发现了另外9例经TIPS治疗成功的乳糜胸或乳糜性腹水病例。这些病例表明，TIPS手术对于治疗肝硬化患者的乳糜液积聚可能是有效且安全的。
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