[1]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136-139.
 WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(02):136-139.
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肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用 ()

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

卷:
期数:
2012年02期
页码:
136-139
栏目:
非血管介入
出版日期:
2012-02-28

文章信息/Info

Title:
The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation
作者:
 王昌明 李 选 宋世兵 栾景源 吕献军 赵 军 董国祥
100191 北京 北京大学第三医院介入血管科,普外科;南京明基医院放射科
Author(s):
WANG Chang-ming LI Xuan SONG Shi-bing LUAN Jing-yuan LV Xian-jun ZHAO Jun DONG Guo-xiang.
Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China
关键词:
 【关键词】 肝移植 手术后并发症 胆管狭窄 介入治疗
文献标志码:
A
摘要:
 【摘要】 目的 介绍全新设计经皮经肝胆道引流管肝门部胆管折叠技术,以单一入路实现双侧胆道支撑引流;研究该技术在治疗原位肝移植后肝门部非吻合口胆道狭窄中的疗效和安全性。方法 2000年7月至2010年7月收治10例原位肝移植后非吻合口胆道狭窄患者。胆道狭窄处予球囊扩张,胆道引流管置入后,在肝门部胆管内折叠成Y形,实现左、右肝管并肝总管三向支撑引流。分析其技术成功率、临床疗效、并发症率及复发率等。结果 技术成功率为10/10。9例临床症状缓解,生化指标恢复正常,影像学检查有明显改善。26个月(中位数)的随访中,未见复发。2例有轻微并发症。1例治疗失败,行第2次肝移植后死亡。结论 经皮经肝胆道引流管肝门部胆管汇合部折叠技术在技术上是可行的;在原位肝移植后非吻合口肝门部胆道狭窄治疗中的初步应用结果表明,其技术成功率、疗效、安全性均令人满意。

参考文献/References:

[1] Ryu CH, Lee SK. Biliary strictures after liver transplantation[J]. Gut Liver, 2011, 5: 133 - 142.
[2] Guichelaar MM, Benson JT, Malinchoc M, et al. Risk factors for and clinical course of non-anastomotic biliary strictures after liver transplantation[J]. Am J Transplant, 2003, 3: 885 - 890.
[3] Tabibian JH, Asham EH, Goldstein L, et al. Endoscopic treatment with multiple stents for post-liver-transplantation nonanastomotic biliary strictures[J]. Gastrointest Endosc, 2009, 69: 1236 - 1243.
[4] Diamond NG, Lee SP, Niblett RL, et al. Metallic stents for the treatment of intrahepatic biliary strictures after liver transplantation[J]. J Vasc Interv Radiol, 1995, 6: 755 - 761.
[5] Petersen BD, Timmermans HA, Uchida BT, et al. Treatment of refractory benign biliary stenoses in liver transplant patients by placement and retrieval of a temporary stent-graft: work in progress[J]. J Vasc Interv Radiol, 2000, 11: 919 - 929.
[6] Abt P, Crawford M, Desai N, et al. Liver transplantation from controlled non-heart-beating donors: an increased incidence of biliary complications[J]. Transplantation, 2003, 75: 1659 - 1663.
[7] Buis CI, Geuken E, Visser DS, et al. Altered bile composition after liver transplantation is associated with the development of nonanastomotic biliary strictures[J]. J Hepatol, 2009, 50: 69 - 79.
[8] 单 鸿, 姜在波. 围肝移植并发症介入治疗的认识[J]. 介入放射学杂志, 2009, 18: 161 - 163.
[9] 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.
[10] 贾广志, 张子东, 王学静, 等. 胆道双支架置入治疗肝门部胆管癌[J]. 介入放射学杂志, 2004, 13: 441 - 443.

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备注/Memo

备注/Memo:

(收稿日期:2011-09-04)

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