Shiffman M L, Jeffers L, Hoofnagle J H, Tralka T S
Hepatology Section, Medical College of Virginia, Richmond 23298, USA.
Hepatology. 1995 Nov;22(5):1591-7.
TIPS is a new and exciting modality for treatment of portal hypertension and its complications. Indications for TIPS remain to be better defined in terms of efficacy and cost-benefit in relationship to other established modes of therapy of portal hypertension. Prospective, randomized controlled trials are needed for these comparisons. Until the role of TIPS in the routine management of the complications of portal hypertension is better defined, TIPS should be used only in situations in which conventional medical and endoscopic therapies have failed.
经颈静脉肝内门体分流术（TIPS）是治疗门静脉高压及其并发症的一种全新且令人振奋的方法。就门静脉高压其他既定治疗方式而言，TIPS在疗效和成本效益方面的适应证仍有待进一步明确。进行这些比较需要开展前瞻性随机对照试验。在TIPS在门静脉高压并发症常规管理中的作用得到更好明确之前，TIPS应仅用于传统药物和内镜治疗均已失败的情况。
