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本研究报道17例因肝硬化顽固性腹水而施行TIPS术的远期临床效果,并评估该方法所致的肾功能、体循环血液动力学和血管加压系统的变化。术后第一年对患者进行至少3次血液动力学及生化等指标的测定,对疗效欠佳或腹水复发的患者,于术后1周或腹水复发时,根据患者具体情况另加研究项目。1例患者于术后21天死亡,故仅16例列入统计学分析。平均随访时间15.5±3.4月。术后1月、3至6
This study reports the long-term clinical efficacy of 17 TIPS procedures in cirrhotic patients with refractory ascites and assesses the changes in renal function, systemic hemodynamics, and vascular compression system induced by this procedure. Patients were tested for hemodynamic and biochemical characteristics at least 3 times in the first year after surgery. Patients with poor response or recurrence of ascites were assessed at 1 week after surgery or at recurrence of ascites based on the patient’s specific situation. One patient died on the 21st postoperative day, so only 16 patients were included in the statistical analysis. The average follow-up time was 15.5 ± 3.4 months. January, 3 to 6 postoperatively