经T管窦道网篮取泥治疗肝移植术后胆泥综合症  

The T-tube approach Basket catheter Treatment Of biliary cast syndrome After Liver Transplantation

作　　者：陈光[1] 高海军[1] 王浩[1] 温连芳[1] 王鹏辉[1] 杨颐馨[1] 

机构地区：[1]天津市第一中心医院放射科,300192

出　　处：《中华介入放射学电子杂志》2014年第3期49-51,共3页Chinese Journal of Interventional Radiology：electronic edition

摘　　要：目的探讨经T管窦道网篮取泥在肝移植术后胆泥综合症治疗中的应用价值。方法回顾性分析2008年1月~2013年5月,经T管窦道网篮取泥治疗肝移植术后胆泥综合症的39例病人。所有病人均于术后3个月经T管造影诊断为胆泥形成。所有病人均采用3F网篮取除胆管内胆泥,并对伴有胆道狭窄的病人行球囊扩张,最后留置6~10F引流管。结果 39例病人中29例1次性完整取出胆树状铸型胆泥,10例取出部分絮状胆泥,6例病人因胆泥复发再次行经T管窦道网篮取泥治疗。除3例病人术后并发严重胆管炎外,无其他与介入治疗相关并发症发生。结论经T管窦道网篮取泥可早期解除胆管梗阻,可作为治疗肝移植术后早期胆管内胆泥的一种方法。Objective The purpose of the study are evaluated the efficacy of biliary cast syndrome treatment with basket catheter from T-tube approach after liver transplantation.Methods 39 biliary cast syndrome patients who had the T-tube approach basket catheter treatment between Jan 2008 and May 2013 were studied.All patients had diagnose by T-tube cholangiography.Patients who had stenosis have balloon dilation in same tiome.Results 29 patients had completely cast removal,10 patients had premodinantly cast removal.6 patients had repeat treatment because of cast recur.3 patients had cholangiolitis after treatment.Conclusion The T-tube approach basket cathter treatment is a relatively safe procedure with a low complication rate.

关 键 词：T管窦道 网篮 肝移植 胆泥综合症 

分 类 号：R657.3[医药卫生—外科学] R816.5[医药卫生—临床医学]