肝移植术后胆道铸型的风险因素和治疗  

Predictive factors and therapy of biliary cast syndrome following liver transplantation

作　　者：王科[1] 钱晓峰[1] 王平[1] 张传永[1] 范烨[1] 游伟[1] 王学浩[1] 

机构地区：[1]南京医科大学第一附属医院肝脏移植中心,江苏南京210029

出　　处：《南京医科大学学报（自然科学版）》2010年第1期77-79,共3页Journal of Nanjing Medical University(Natural Sciences)

摘　　要：目的:探讨肝移植术后胆道铸型的风险因素,回顾治疗方法。方法:回顾性总结本院自2005年1月～2005年12月肝脏移植受体中发生胆道铸型的患者的材料。结果:112例肝移植受体中发生胆道铸型共15例。结论:供肝缺血时间过长和胆道狭窄的患者更容易发生胆道铸型,在外科手术之前可以进行内镜治疗并能够获得满意的效果。Objective：To identify clinical features associated with biliary cast formation and review treatments.Methods：Patient records were reviewed retrospectively to identify patients who developed casts.Results：Biliary cast occurred in 15 patients among 112 cases.Conclusion：Biliary casts are more likely to develop in the setting of hepatic ischemia and biliary strictures.Endoscopic cast extraction might achieve favorable results and should be attempted before surgical therapy.

关 键 词：肝移植 胆道铸型 

分 类 号：R657.3[医药卫生—外科学]