门静脉高压症的干预措施正在不断发展和扩展,超出医疗管理领域。尽管采取了保守的干预措施,但静脉曲张和腹水等并发症仍然存在时,手术包括经颈静脉肝内门体分流术,经静脉闭塞,门静脉再通,脾动脉栓塞术,外科分流术,和断流术都是本文详述的潜在干预措施。选择最佳程序来解决根本原因,治疗症状,and,在某些情况下,桥肝移植取决于门静脉高压症的具体病因和患者的合并症。
Interventions for portal hypertension are continuously evolving and expanding beyond the realm of medical management. When complications such as varices and ascites persist despite conservative interventions, procedures including transjugular intrahepatic portosystemic shunt creation, transvenous obliteration, portal vein recanalization, splenic artery embolization, surgical shunt creation, and devascularization are all potential interventions detailed in this article. Selection of the optimal procedure to address the underlying cause, treat symptoms, and, in some cases, bridge to liver transplantation depends on the specific etiology of portal hypertension and the patient\'s comorbidities.