[1]李 强,敖国昆,代 鹏,等.双引流管技术在四例肝移植术后胆道狭窄中的应用[J].介入放射学杂志,2011,(10):796.
 LI Qiang,AO Guo-kun,DAI Peng,et al.The clinical application of double-tube drainage technique in treating biliary tract stricture occurred after orthotopic liver transplantation: report of 4 cases[J].journal interventional radiology,2011,(10):796.
点击复制

双引流管技术在四例肝移植术后胆道狭窄中的应用()

PDF下载中关闭

分享到:

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

卷:
期数:
2011年10期
页码:
796
栏目:
非血管介入
出版日期:
2011-10-25

文章信息/Info

Title:
The clinical application of double-tube drainage technique in treating biliary tract stricture occurred after orthotopic liver transplantation: report of 4 cases
作者:
李 强 敖国昆 代 鹏 段 峰 宋 鹏 王茂强
100091 北京市 解放军三O九医院放射科
Author(s):
LI Qiang AO Guo-kun DAI Peng DUAN Feng SONG Peng WANG Mao-qiang.
Department of Radiology, No. 309 Hospital of PLA, Beijing 100091, China
关键词:
肝移植 胆管造影术 并发症 介入治疗
分类号:
R657.46
文献标志码:
A
摘要:
目的 探讨双引流管技术在治疗肝移植术后胆道狭窄中的应用价值。方法 回顾性分析采用双引流管技术治疗4例肝移植术后胆道狭窄病例的资料。采用经皮经肝穿刺胆道引流介入技术,建立1 ~ 2条引流道置入双引流管。结果 4例胆道并发症均患者表现为肝内胆管和胆总管多发狭窄合并胆泥形成。患者平均年龄55岁,供肝冷缺血时间11.4 h、热缺血时间6 min。胆管重建方式均为胆总管端端吻合。双引流管自同一引流通道和2条引流道置入者各2例。4例分别行球囊扩张成形及引流术3、9、11、35次。1例治疗后无效,3例好转。结论 双引流管技术可选择性应用于吻合口和非吻合口多发胆道狭窄且胆泥形成的病例,反复的胆道塑形和充分引流,为有效的治疗方法。

参考文献/References:

[1] Holt AP, Thorburn D, Mirza D, et al. A prospective study of standardized nonsurgical therapy in the management of biliary anastomotic strictures complicating liver transplantation[J]. Transplantation, 2007, 84: 857 - 863.
[2] 黄 强, 翟仁友, 戴定可, 等. 肝移植术后胆道并发症的介入诊疗[J]. 介入放射学杂志, 2007, 16: 544 - 547.
[3] 李 强, 敖国昆, 杜国盛, 等. 经皮肝穿刺胆道引流介入治疗肝移植术后胆道狭窄30例[J]. 中华器官移植杂志, 2010, 31: 745 - 748.
[4] Sanchez-Urdazpal L, Gores GJ, Ward EM, et al. Ischemic-type biliary compli-cations after orthotopic liver transplantation[J]. Hepatology, 1992, 16: 49 - 53.
[5] Park JB, Kwon CH, Choi GS, et al. Prolonged cold ischemic time is a risk factor for biliary strictures in duct-to-duct biliary Reconstruction in living donor liver transplantation[J]. transplantation, 2008, 86: 1536 - 1542.
[6] Spier BJ, Pfau PR, Lorenze KR, et al. Risk factors and outcomes in post-liver transplantation bile duct stones and casts: A case-control study[J]. Liver Transpl, 2008, 14: 1461 - 1465.

相似文献/References:

[1]李麟荪,施海彬.肝移植术后并发症与介入治疗[J].介入放射学杂志,2008,(09):612.
 LI Linsun,SHI Haibin.Interventional therapy of complications after liver transplantation:hepatic artery thombosis[J].journal interventional radiology,2008,(10):612.
[2]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗二、肝动脉狭窄[J].介入放射学杂志,2008,(10):687.
 LI Linsun SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation:hepatic artery stricture[J].journal interventional radiology,2008,(10):687.
[3]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗[J].介入放射学杂志,2008,(11):764.
 LI Linsun,SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation:arterial steal syndrome[J].journal interventional radiology,2008,(10):764.
[4]李麟荪,施海彬,赵林波.肝移植术后并发症与介入治疗四、门静脉并发症[J].介入放射学杂志,2008,(12):840.
 LI Linsun,SHI Haibin,ZHAO Linbo.Interventional therapy of complications after liver transplantation:complications of portal vein[J].journal interventional radiology,2008,(10):840.
[5]黄加胜,李迎春,王家平,等.经皮肝穿胆道引流术治疗肝移植术后胆道并发症[J].介入放射学杂志,2007,(04):275.
 HUANG Jia-sheng,LI Ying-chun,WANG Jia-ping,et al.Percutaneous transhepatic cholangiography and drainage for treatment of biliary complications after liver transplantation[J].journal interventional radiology,2007,(10):275.
[6]吴达明,张华,靳勇,等.血管性介入在肝脏移植中的应用[J].介入放射学杂志,2006,(01):10.
 WU Da-ming,ZHANG Hua,JIN Yong,et al.The application of vascular interventional radiology on liver transplantation[J].journal interventional radiology,2006,(10):10.
[7]刘凤永,王茂强,王志军,等.肝移植术后急性肝动脉血栓形成的介入治疗[J].介入放射学杂志,2006,(04):224.
 LIU Feng-yong,WANG Mao-qiang,WANG Zhi-jun,et al.Intenrentional treatment of emergent hepatic anery thrombosis after liver transplantation.[J].journal interventional radiology,2006,(10):224.
[8]孟晓春,朱康顺,徐川,等.肝移植术后不同类型胆道狭窄的多层CT诊断价值[J].介入放射学杂志,2009,(03):200.
 MENG Xiaochun,ZHU Kangshun,XU Chuan,et al.The role of multislice spiral CT in diagnosing different biliary strictures after liver transplantation[J].journal interventional radiology,2009,(10):200.
[9]周斌,李征然,钱结胜,等.原发性肝癌肝移植后肿瘤复发的化疗栓塞治疗[J].介入放射学杂志,2009,(03):185.
 ZHOU Bin,LI Zhengran,QIAN Jiesheng,et al.Chemoembolization for recurrent hepatocellular carcinoma after liver transplantation[J].journal interventional radiology,2009,(10):185.
[10]钱结胜,姜在波,朱康顺,等.原位肝移植术后肝动脉狭窄导致缺血型胆管损伤的治疗[J].介入放射学杂志,2009,(03):196.
 QIAN Jiesheng,JIANG Zaibo,ZHU Kangshun,et al.Management of ischemic-type biliary injury induced by hepatic artery stricture after orthotopic liver transplantation[J].journal interventional radiology,2009,(10):196.

备注/Memo

备注/Memo:
收稿日期:20110603
更新日期/Last Update: 2011-10-25