肝移植术后腹腔积液的超声引导下治疗  

The Interventional Therapy of Hydrops Abdominis after Liver Transplantation under the Guidance of Ultrasonic

作　　者：成剑文[1] 周俭[1] 樊嘉[1] 黄晓武[1] 史颖弘[1] 宋康[1] 沈早卓[1] 季正标[2] 

机构地区：[1]复旦大学附属中山医院肝外科,上海200032 [2]复旦大学附属中山医院超声科,上海200032

出　　处：《中国临床医学》2009年第2期265-266,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨超声介入法治疗肝移植术后腹腔积液的价值。方法:回顾分析在超声引导下穿刺或置管治疗20例肝移植术后腹腔积液的临床资料。结果:20例超声引导下治疗均获得成功,包括右膈下积液5例,肝肾区积液4例,肝门区积液4例,大量腹水7例,其中3例因分隔性积液而重新置管,置管后症状均有改善,未发生严重并发症。结论:超声介入法治疗肝移植术后腹腔积液安全、快捷、有效。Objective：To explore the value of interventional therapy in the patients suffered from hydrops abdominis after liver transplantation. Methods：The data of 20 hydrops abdominis cases after liver transplantation underwent puncture or catheter drainage under the guidance of ultrasonic were analyzed retrospectively. Results：All the 20 procedure performed under the guidance of ultrasonic, including 5 patients had hydrops abdominis under right subphrenic, 4 in the cavity between liver and renal, 4 near the porta hepatic and 7 massive ascites. Three of them needed to replace the catheter for septal fruid. The symptoms were all relived without severe complications. Conclusion：Interventional ultrasonic therapy is a safe, easy and effective way to manage patients suffered from hydrops abdominis after liver transplantation.

关 键 词：肝移植 腹腔积液 介入超声 

分 类 号：R657.3[医药卫生—外科学]