成人活体肝移植术后肝静脉狭窄的诊断与介入治疗:2例报道并文献复习  

Diagnosis and percutaneous interventional management of hepatic venous outflow obstruction after adult-to-adult living donor liver transplantation:Two cases report and literatures review

作　　者：姜在波[1] 李名安[1] 钱结胜[1] 庞鹏飞[1] 李征然[1] 王劲[1] 单鸿[1] 黄明声[1] 李华[2] 易述红[2] 朱康顺[1] 关守海[1] 

机构地区：[1]中山大学附属第三医院介入血管专科,广东广州510630 [2]中山大学附属第三医院肝移植中心,广东广州510630

出　　处：《中国介入影像与治疗学》2010年第1期27-30,共4页Chinese Journal of Interventional Imaging and Therapy

基　　金：广东省自然科学基金团队项目(5200177)

摘　　要：肝静脉狭窄是肝移植术后的一种严重并发症,在活体肝移植术后发生率较高。本文通过回顾性分析2例成人活体肝移植术后肝静脉狭窄患者的相关资料,结合国内外相关文献,探讨肝移植术后肝静脉狭窄的诊断方法及介入治疗效果。经皮肝静脉造影术可确诊肝静脉流出道梗阻,经皮经肝球囊、支架成形术是治疗活体肝移植术后早期肝静脉狭窄的一种安全、简便、有效的方法。Hepatic venous outflow obstruction is a severe complication after liver transplantation, often occurs after living donor liver transplantation （LDLT）. In this article, the clinical and imaging data of two patients with hepatic venous out- flow obstruction after LDLT were analyzed retrospectively, and the related literatures were reviewed to explore the diagno- sis and the interventional therapy of this complication. Hepatic venous outflow obstruction can be confirmed with percuta- neous transhepatic venography. Percutaneous interventional managements, including balloon angioplasty and stent implan- tation are safe, easy and effective for the treatment of hepatic venous outflow obstruction after adult-to-adult living donor liver transplantation （A-A LDLT）.

关 键 词：肝移植 Budd—Chiari综合征 放射学 介入性 

分 类 号：R657.3[医药卫生—外科学] R815[医药卫生—临床医学]