肝移植术后胆管并发症的介入治疗  

Interventional Treatment of Biliary Complications after Liver Transplantation

作　　者：黄加胜[1] 王家平[2] 李迎春[2] 闫东[2] 袁曙光[2] 朱建平[2] 龚丽娜[2] 韩正林[2] 

机构地区：[1]南京医科大学附属淮安第一附属医院放射科,江苏223300 [2]昆明医学院第二附属医院放射科DSA室,昆明650101

出　　处：《放射学实践》2006年第7期732-734,共3页Radiologic Practice

摘　　要：目的：评价介入方法治疗肝移植术后胆管并发症的价值。方法：时1999年10月～2005年6月53例肝移植患者术后发生胆道并发症的相关资料进行回顾性分析。结果：9例患者术后出现胆管并发症，使用经皮肝穿胆道引流（PTCD）治疗4例次，经内镜逆行胰胆管造影（ERCP）治疗5例次。手术均取得成功。患者的临床症状均有所好转。结论：介入方法治疗肝移植术后胆管并发症可获得较好的近期疗效，其远期结果有待于进一步观察。Objective：To evaluate the value of interventional radiology for the treatment of biliary complication after liver transplantation. Methods：53 patients who received liver transplantation from October 1999 to June 2005 had post-surgical biliary tract complications and were retrospectively reviewed. Results： Biliary tract complications were identified in 9 cases. Percutaneous transhepatic cholangiography and drainage was performed in 4 cases/times;endoscopic retrograde cholangiopancreatography （ERCP） were undergone in 5 cases/times. The operations were successful,and the patientsr clinical settings improved. Conclusion： Interventionl radiology techniques are valuable treatments for biliary complications after liver transplantation,have satisfactory short-term effects ,while further follow-up is needed for long-term evaluation.

关 键 词：肝移植 术后并发症 介入治疗 胆管 经内镜逆行胰胆管造影 经皮肝穿刺胆道造影术 

分 类 号：R657.3[医药卫生—外科学]