[1]邵海波,徐 克,张曦彤,等.介入放射技术在肝移植术后肝动脉并发症中的应用[J].介入放射学杂志,2011,(07):526.
 SHAO Hai-bo,XU Ke,ZHANG Xi-tong,et al.The application of interventional radiological procedures in treating hepatic artery complications occurred after liver transplantation[J].journal interventional radiology,2011,(07):526.
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介入放射技术在肝移植术后肝动脉并发症中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2011年07期
页码:
526
栏目:
血管介入
出版日期:
2011-07-30

文章信息/Info

Title:

The application of interventional radiological procedures in treating hepatic artery complications occurred after liver transplantation

作者:
邵海波 徐 克 张曦彤 苏洪英 吴 刚 李 宏 刘永锋
110001 沈阳 中国医科大学附属第一医院放射科,器官移植科
Author(s):
SHAO Hai-bo XU Ke ZHANG Xi-tong SU Hong-ying WU Gang LI Hong LIU Yong-feng
Department of Radiology, First Affiliated Hospital of China Medical University, Shenyang 110001, China
关键词:
肝移植 肝动脉狭窄 肝动脉血栓形成
分类号:
R543.5
文献标志码:
A
摘要:
目的 探讨介入放射技术在肝移植术后肝动脉并发症诊治中的应用价值。方法 对13例肝移植术后出现肝动脉并发症患者进行介入治疗。对6例肝动脉狭窄(HAS)者采用PTA或支架植入治疗,3例肝动脉闭塞者先行动脉开通,再行PTA或支架治疗,3例肝动脉血栓形成(HAT)者行经导管溶栓治疗,1例胃十二指肠动脉盗血综合征(GSS)者行胃十二指肠动脉弹簧圈栓塞治疗。观察即刻、近期及远期疗效。结果 即刻疗效的总有效率为84.6%(11/13)。其中HAS的有效率为6/6,HAT为3/3,GSS为1/1,肝动脉闭塞为1/3。近期疗效观察(彩色多普勒超声)未见肝动脉血流减少或消失,术后3 d 丙氨酸转氨酶(t = 2.68,P < 0.05)和总胆红素(t = 2.94,P < 0.05)显著下降。随访2 ~ 34个月,无肝动脉并发症发生,未出现介入治疗相关并发症和死亡。结论 采用介入放射技术处理肝移植术后肝动脉并发症安全、有效、创伤小,可作为首选的治疗方法。

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备注/Memo

备注/Memo:
收稿日期:20101108
更新日期/Last Update: 2011-07-30