人活体小肠移植术后急性排斥反应的内镜表现  

Endoscopic diagnosis of acute rejection following human small intestin vivotransplantation

作　　者：丁杰[1] 李彩宁[1] 孙安华[1] 郭学刚[1] 王为忠[2] 吴国生[2] 

机构地区：[1]第四军医大学西京医院消化内科,西安710032 [2]第四军医大学西京医院胃肠外科,西安710032

出　　处：《中华消化内镜杂志》2002年第2期71-73,共3页Chinese Journal of Digestive Endoscopy

摘　　要：目的报告２例活体部分小肠移植术后急性排斥反应，探讨内镜及肠粘膜活检在排斥反应诊断中的作用和意义。方法自末端回肠肠造口行内镜检查，观察肠粘膜变化并钳取肠粘膜组织做病理学检查。结果及时诊断出小肠移植术后急性排斥反应，描述了急性排斥反应时肠粘膜的内镜和病理学表现。结论内镜和内镜指导下的肠粘膜活组织病理学检查是诊断小肠移植术后排斥反应的可靠方法。Objective To report 2 cases of acute rejection following small intestin vivotransplantation and to disscuss the diagnostic significance of endoscopy and mucosal biopsy.Methods Endoscopic observation and mucosal biopsies of the graft through the terminal ileum enterostomy were carried out. Results Acute rejection was diagnosed in two patients with human small intestin vivotransplantation in good time.Endoscopic and the pathologic manifestations of the graft during acute rejection were discribed.Conclusion Endoscopy and the pathologic examination of endoscopically guided mucosal biopsy specimens are the most reliable method for diagnosing acute rejection following small intestin transplantation.

关 键 词：急性排斥反应 小肠移植 内窥镜检 活组织检查 

分 类 号：R656.7[医药卫生—外科学] R392.4[医药卫生—临床医学]