同种异体原位肝移植的肝动脉重建  

RECONSTRUCTION OF HEPATIC ARTERY IN ALLOGENEIC ORTHOTOPIC LIVER TRANSPLANTATION

作　　者：张生彬[1] 赵金[1] 王凌峰[1] 李志敏[1] 苏力夫[1] 康楠[1] 宋士鹏[1] 赵天永[1] 李冰[1] 田庆刚[1] 马辉[1] 刘宝琴[1] 

机构地区：[1]内蒙古医学院第三附属医院普外科,内蒙古包头014010

出　　处：《内蒙古医学院学报》2007年第2期88-90,共3页Acta Academiae Medicinae Neimongol

基　　金：包头市自然科学基金项目(2005)

摘　　要：目的:总结同种异体原位肝移植中肝动脉吻合的经验。方法:回顾性分析11例原位肝移植中影响肝动脉吻合的因素和处理技巧。结果:7例行供、受者肝固有动脉端端吻合,2例供者肝总动脉与受者肝固有动脉吻合,2例供者肝总动脉与受者脾动脉吻合;术后彩色多普勒超声监测显示肝动脉血流通畅,均未发现有血栓形成或肝动脉狭窄,现存活8例。结论:合理选择吻合用血管是避免术后发生血栓形成和动脉狭窄的关键。Objective：To summarize the experience of hepatic artery inosculation in orthotopic liver transplantation. Methods. Facts and skills affecting hepatic artery inosculation in 11 patients of orthotopic liver transplantation were retrospectively analyzed in this article. Results. The donor and recipient proper hepatic arteries were reconstructed by end - to - end anastomosis in 7 cases, and the donor common hepatic arteries and the recipient proper hepatic arteries were anastomosed in 2 cases, and the donor common hepatic arteries were anastomosed to the recipient splenic arteries in 2 cases. All of the anastomosed sites were assessed by Doppler ultrasonography postoperatively, and hepatic arterial thrombosis or stenosis has not been found. 8 patients are still alive until now. Conclusion： Choosing proper vessels in vascular reconstruction is crucial in preventing hepatic arterial thrombosis and stenosis.

关 键 词：肝移植 肝动脉 血管重建 

分 类 号：R657.3[医药卫生—外科学]