儿童肝移植术后门静脉狭窄的血管腔内介入治疗  

Endovascular interventional therapy of portal vein stenosis after pediatric liver transplantation

作　　者：张致远[1] 金龙[1] 陈广[1] 苏天昊[1] 王振常[2] 朱志军[3] 魏林[3] 肖国文[1] 

机构地区：[1]首都医科大学附属北京友谊医院放射介入科,北京100050 [2]首都医科大学附属北京友谊医院医学影像中心,北京100050 [3]首都医科大学附属北京友谊医院肝移植中心,北京100050

出　　处：《中国介入影像与治疗学》2017年第4期210-213,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨经皮肝血管成形术在儿童肝移植术后门静脉狭窄(PVS)治疗中的应用价值。方法回顾性分析儿童肝移植术后PVS 8例患儿资料,均经门静脉造影证实,并行经皮血管成形术和(或)经皮血管内支架成形术治疗。分析8例患儿血管腔内介入治疗的效果。结果对8例患儿共进行12例次血管内腔内介入治疗,技术成功率66.67%(8/12),首次治疗临床成功率62.50%(5/8)。3例分别于首次球囊扩张后再次行球囊扩张,2例术后PVS无复发,1例患儿再次球囊扩张治疗后,行血管腔内支架成形术,支架植入后未狭窄。8例患儿均未出现治疗相关并发症。结论儿童肝移植术后PVS的血管腔内介入治疗是一种安全、有效的治疗方法。Objective To evaluate the value of percutaneous transhepatic angioplasty in treatment of portal vein stenosis （PVS） after pediatric liver transplantation. Methods The data of 8 pediatric patients with PVS after liver transplantation were retrospectively evaluated. All cases were confirmed by portal vein angiography, and were treated with percutaneous transluminal angioplasty and/or percutaneous transluminal stent angioplasty. The effect of endovascular interventional therapy in 8 cases was analyzed. Results A total of 12 times of 8 patients received endovascular interventional therapy. The success rate was 66.67% （8/12）. The clinical success rate of the first treatment was 62.50% （5/8）. Three cases were treated with balloon dilation after the first balloon dilation, and there was no recurrence of PVS after operation in 2 cases. After the treatment of balloon dilation, stent angioplasty was performed in 1 case. There were no complications related to treatment in 8 cases. Conclusion Endovascular interventional treatment is a safe and effective way for PVS after pediatric liver transplantation.

关 键 词：儿童 肝移植 门静脉 狭窄 放射学 介入性 

分 类 号：R726.5[医药卫生—儿科] R816.92[医药卫生—临床医学]