门静脉血栓与肝移植  

Portal vein thrombosis and liver transplantation

作　　者：罗方舟 杨喆[1] 郑树森[1,2] Luo Fangzhou;Yang Zhe;Zheng Shusen(Department of Hepatopancreatobiliary Surgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310003, China;Shulan International Medical College of Zhejiang Shuren University, Hangzhou 310015, China)

机构地区：[1]浙江大学医学院附属第一医院肝胆胰外科,杭州310003 [2]浙江树人大学树兰国际医学院,杭州310015

出　　处：《中华移植杂志（电子版）》2019年第3期245-251,共7页Chinese Journal of Transplantation(Electronic Edition)

基　　金：国家自然科学基金创新群体(81421062)

摘　　要：门静脉血栓形成(PVT)是指门静脉主干以及门静脉属支内血栓形成。由于PVT常缺乏特征性表现,主要依赖于术前影像学检查发现,甚至在术中偶然发现PVT。随着我国肝移植事业的不断发展,移植过程中发现PVT的案例越来越多,PVT已不再是肝移植禁忌证。因此,针对PVT的诊断、治疗以及移植过程中的处理方法显得尤为重要。本文根据国内外最新研究进展及经典文献报道,对肝移植中PVT展开综述。Portal vein thrombosis (PVT) is defined as thrombosis in main portal vein and its tributary. Because of lacking specific clinical characteristics, most PVT was detected through imageological examination before transplantation, or discovered by accident during surgery. With rapid development of liver transplantation in China, more liver transplantation recipients with PVT were found during transplantation, and PVT is no longer the contraindication of liver transplantation. Therefore, reasonable diagnosis and treatment, and effective management during transplantation aiming at PVT is important. This review will elucidate the recent domestic and international progress in the aspect of PVT in liver transplantation.

关 键 词：肝移植 门静脉血栓形成 诊断 分型 门静脉重建 

分 类 号：R657.3[医药卫生—外科学]