Mukund Amar, Rana Shaleen, Mohan Chander, Kalra Naveen, Baijal Sanjay Saran
Department of Interventional Radiology, Institute of Liver and Biliary Sciences, New Delhi, India.
Department of Interventional Radiology, BLK Superspecialty Hospital, New Delhi, India.
Indian J Radiol Imaging. 2022 Jan 10;31(4):917-932. doi: 10.1055/s-0041-1740235. eCollection 2021 Oct.
Portal hypertension is a complication of chronic liver disease. Various radiological interventions are being done to aid in the diagnosis of portal hypertension; further, an interventional radiologist can offer various treatments for the complications of portal hypertension. Diagnosis of portal hypertension in its early stage may require hepatic venous pressure gradient measurement. Measurement of gradient also guides in diagnosing the type of portal hypertension, measuring response to treatment and prognostication. This article attempts to provide evidence-based guidelines on the management of portal hypertension and treatment of its complications.
门静脉高压是慢性肝病的一种并发症。目前正在进行各种放射学干预措施以辅助门静脉高压的诊断;此外,介入放射科医生可为门静脉高压的并发症提供多种治疗方法。门静脉高压早期的诊断可能需要测量肝静脉压力梯度。梯度测量也有助于诊断门静脉高压的类型、评估治疗反应及进行预后判断。本文旨在提供基于循证医学的门静脉高压管理及其并发症治疗的指南。