超声引导下兔体内直接性门腔静脉分流支架置入路径的探讨

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1、分类号：密级：单位代码：10092学号：20121247广可#"方净演>HEBEINORTHUNIVERSITY硕士学位论文超声引导下兔体内直接性门腔静脉分流支架置入路径的探讨单位：河北北方学院专业：影像医学与核医学研究生姓名：张晓婷导师姓名及职称:刘淑萍教授研究起止日期：2013.9-2014.12提交日期：2015.5分类号：密级：单位代码：10092学号：20121247超声引导下兔体内直接性门腔静脉分流支架置入路径的探讨单位：河北北方学院专业：影像医学与核医学研究生姓名：张晓婷导师姓名及职称：

2、刘淑萍教授研究起止日期：2013.9-2014.12提交日期：2015.5河北北方学院学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获的研究成果，其知识产权归河北北方学院所有。河北北方学院有权对本学位论文进行交流、公开和使用。导师签名：研究生签名：河北北方学院研究生学位论文独创性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注和致谢等内容外，文中不包含其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由

3、本人独立撰写，文责自负。导师签名：研究生签名：目录目录中文摘要···········································································1英文摘要···········································································3英文缩写······························································

4、·············6研究论文超声引导下兔体内直接性门腔静脉分流支架置入路径探讨前言········································································7材料与方法··································································9结果·····························································

5、·············10附图··········································································11附表·······································································18讨论··········································································19结论·····

6、··································································27参考文献····································································28综述超声引导下直接性门腔静脉分流的实验研究·····················35致谢·································································

7、···············46个人简历··········································································47I中文摘要超声引导下兔体内直接性门腔静脉分流支架置入路径探讨摘要肝硬化导致的门静脉高压症是由于门静脉及其属支血管压力增加而引发并发症。主要包括食管-胃底静脉破裂出血、脾功能亢进、顽固性胸腹水、肝肾综合征及肝静脉闭塞导致的布-加综合征等。随着医疗技术的发展，X线引导下经颈内静脉途径建立肝内门体静脉分流术（TIPS

8、）已经广泛应用于缓解门静脉压力，成为治疗门静脉高压症的主要手段之一。临床上常遇到颈内静脉狭窄或闭塞、上腔静脉狭窄或闭塞、肝静脉闭塞、心房内梗阻性病变、大量腹水、一侧肺不张引起的纵膈移位等情况，使得传统TIPS术难以实施，然而随着超声引导下介入技术的发展，超声结合X线引导的经皮经肝穿刺门静脉与肝后段下腔静脉（RHSIVC）之间建立直接性门腔静脉分流（DIPS）术已成为当今介入微创治疗门静脉高压症的热点。为避免X线的放射性辐射，本实验研究在脱离X线条件下，对