Kobinia G, Olbert F, Russe O J, Hagmüller G W, Denck H
Diagn Imaging. 1979;48(2):57-70.
Radiological diagnosis in portal hypertension is of paramount importance for proper treatment. The site of portal obstruction is determined preoperatively by either direct (splenoportography, transumbilical portography, epiploography, selective percutaneous transhepatic catheterization) or direct (catheterization of the celiac truncus and/or the superior mesenteric artery) methods. After a shunt procedure the examination can best be done with a balloon catheter, by direct catheterization of a shunt or by indirect splenoportography. Recently, the radiologist has started to do the treatment by percutaneous transhepatic injection of a sclerosing agent into the gastric coronary vein. For each different method the advantages and disadvantages, the indications and technical procedure are described and discussed.
门静脉高压症的放射学诊断对于恰当治疗至关重要。门静脉阻塞部位术前可通过直接方法（脾门静脉造影、经脐门静脉造影、网膜造影、选择性经皮肝穿刺导管插入术）或间接方法（腹腔干和/或肠系膜上动脉插管）来确定。分流手术后，最好使用球囊导管，通过分流的直接插管或间接脾门静脉造影进行检查。最近，放射科医生已开始通过经皮肝穿刺向胃冠状静脉注射硬化剂进行治疗。针对每种不同方法，阐述并讨论了其优缺点、适应证及技术操作。
