[1]周 陈,丁文彬,袁瑞凡,等. 肝胆汁瘤的介入治疗[J].介入放射学杂志,2011,(11):882-884.
 ZHOU Chen,DING Wen-bin,YUAN Rui-fan,et al. The interventional treatment of intrahepatic bilomas[J].journal interventional radiology,2011,(11):882-884.
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 肝胆汁瘤的介入治疗 ()

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

卷:
期数:
2011年11期
页码:
882-884
栏目:
非血管介入
出版日期:
2011-11-25

文章信息/Info

Title:
 

The interventional treatment of intrahepatic bilomas

作者:
 周 陈   丁文彬   袁瑞凡   金   杰
226001 江苏 南通市第一人民医院介入科
Author(s):
ZHOU Chen DING Wen-bin YUAN Rui-fan JIN Jie.
Department of International Radiology, Nangtong No.1 People’s Hospital, Jiangsu Province 226001, China
关键词:
 【关键词】 胆汁瘤 介入治疗 引流 肝肿瘤 并发症
文献标志码:
A
摘要:
 【摘要】 目的 探讨肝胆汁瘤的形成原因及介入治疗。方法 2005年至2010年南通市第一人民医院介入科共收治15例胆汁瘤患者,并行介入治疗,其中11例为TACE术后所致,1例外伤引起,3例外科手术引起。治疗方法是通过B超引导下穿刺置管引流,术后间歇应用敏感抗生素冲洗,通过引流液量的变化及影像学资料观察胆汁瘤愈合情况。结果 15例患者均行引流术,其中8例患者引流30 d内胆汁瘤愈合拔管,2例30 ~ 60 d愈合拔管,3例60 d后拔管,1例施行肝移植,1例未能拔管并因肿瘤进展死亡。结论 胆汁瘤是肝胆手术、外伤和肝脏介入治疗等所致的一种并发症,介入治疗肝胆汁瘤创伤小、安全有效。

参考文献/References:

1] 高德安, 王炳生. 23例医源性胆管损伤的诊治分析[J]. 中国临床医学, 2001, 8: 550 - 551.
[2] Hagiwara A, Tarui T, Murata A, et al. Relationship between pseudoaneurysm formation and biloma after successful transarterial embolization for severe hepatic injury: permanent embolization using stainless steel coils prevents pseudoaneurysm formation[J]. J Trauma, 2004, 59: 49 - 55.
[3] Fujiwara H, Yamamoto M, Takahashi M, et al. Spontaneous rupture of an intrahepatic bile duct with biloma treated by percutaneous drainage and endoscopic sphincterotomy[J]. Am J Gastroenterol, 1998, 93: 2282 - 2284.
[4] 王茂强, 唐文捷, 林汉英, 等. 经导管肝动脉化疗栓塞术后胆管损伤的临床意义[J]. 介入放射学杂志, 2005, 14: 493 - 497.
[5] 欧阳墉. 经导管肝动脉化疗栓塞术的严重并发症[J]. 介入放射学杂志, 2008, 17: 822 - 826.
[6] Kono N, Nakanuma Y. Ultrastructural and immunohistochemical studies of the intrahepatic peribiliary capillary plexus in normal livers and extrahepatic biliary obstruction in human beings[J]. Hepatology, 1992, 15: 411 - 418.
[7] 黄晓强, 黄志强, 杨可祯. 肝脏微循环在肝硬化及胆管阻塞时的改变(文献综述)[J]. 国外医学.外科学分册, 1986, 13: 321 - 324.

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 (收稿日期:20101213)
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