超声引导下置管引流在肝移植术后腹腔并发症中的应用  

The application of ultrasound-guided catheter drainage in abdominal complications after liver transplantation

作　　者：黄备建[1] 丁红[1] 夏罕生[1] 张晖[1] 毛枫[1] 俞清[1] 王文平[1] 

机构地区：[1]上海复旦大学附属中山医院超声科,200032

出　　处：《上海医学影像》2005年第3期171-172,176,共3页Shanghai Medical Imaging

摘　　要：目的探讨超声引导下置管引流在原位肝移植术后腹腔并发症中的价值。方法回顾40例在超声引导下采用Seldinger法置管引流治疗原位肝移植术后腹腔并发症的资料。结果40例超声引导下置管引流均一次成功,包括肝内胆汁瘤置管3例,经皮肝内胆管置管3例,胆漏置管12例,膈下积液置管引流9例,腹腔积液置管引流13例。其中13例为导管堵塞或分隔性积液而重新置管。置管后分别引流出胆汁、脓液或积液,引流后症状有不同改善,无严重并发症发生。结论超声引导下置管引流对原位肝移植术后腹腔并发症有重要价值。Purpose To study the value of ultrasound-guided catheter drainage in abdominal complications after orthotopic liver transplantation. Methods To review 40 procedures of ultrasound-guided catheter drainage with the use of Seldinger technique in abdominal complications after orthotopic liver transplantation. Results All 40 procedures of ultrasound-guided catheter drainage, including 3 cases of intrahepatic biloma drainage, 3 cases of percutaneous transhepatic cholangiodrainage（PTCD）, 12 cases of biliary leak drainage, 9 cases of subphrenic fluid collection drainage and 13 cases of abdominal fluid collection drainage, were successful at first attempt. The 13 procedures were replaced catheter for occlusion or septal fluid. With bile, abscess fluid and collection fluid drained respectively, the symptoms were more or less relieved, and no severe complications occurred after interventional procedure. Conclusion The ultrasound-guided catheter drainage plays an important role in the management of abdominal complications after orthotopic liver transplantation.

关 键 词：介入性超声 原位肝移植 并发症 原位肝移植术 超声引导下 置管引流 后腹腔 SELDINGER法 肝内胆汁瘤 膈下积液 

分 类 号：R657.3[医药卫生—外科学] R714.221[医药卫生—临床医学]