基于磁力再通术的肝移植术后Yan-Lyu's胆道狭窄分型的建立  

Establishment of Yan-Lyu’s Biliary Stricture Classification After Liver Transplantation Based on Magnetic Recanalization

作　　者：张苗苗[1,2] 吕毅 严小鹏[1,2] ZHANG Miaomiao;LV Yi;YAN Xiaopeng(Department of Hepatobiliary Surgery,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi 710061,China;National Local Joint Engineering Research Center for Precision Surgery&Regenerative Medicine,The First Affiliated Hospital of Xi’an Jiaotong University,Xi’an Shaanxi 710061,China)

机构地区：[1]西安交通大学第一附属医院肝胆外科,陕西西安710061 [2]西安交通大学第一附属医院精准外科与再生医学国家地方联合工程研究中心,陕西西安710061

出　　处：《中国医疗设备》2022年第6期1-4,共4页China Medical Devices

基　　金：陕西省重点研发计划(2021SF-163);陕西省创新能力支撑计划(2020KJXX-022)。

摘　　要：磁力再通技术已成为肝移植术后胆道狭窄的重要治疗方式之一。与传统治疗模式不同,磁力再通技术有其独特的吻合机理和操作路径,这也注定了磁力再通技术在临床应用中对患者胆道狭窄的认识和判断不同于现有的认识。目前国内外尚无基于磁力再通技术的胆道狭窄判断的统一标准,本文在国际上首次提出了基于磁力再通技术的胆道狭窄的分型方法,该分型以狭窄程度、狭窄段长度、狭窄胆道两端成角情况、是否存在狭窄胆道两端胆管空间转位4个关键核心影响要素为依据,将肝移植术后胆道狭窄分为5大类型,成功构建了科学的Yan-Lyu’s胆道狭窄分型方法。Yan-Lyu’s分型可作为肝移植术后胆道狭窄患者是否可以行磁力再通技术及采用何种操作路径和预后判断的重要方法。Magnetic recanalization technique has become one of the important treatment methods for biliary stricture after liver transplantation.Different from the traditional treatment mode,magnetic recanalization technique has its unique anastomosis mechanism and operation path,which also doomed the understanding and judgment of magnetic recanalization technique in clinical application of patients with biliary stricture is different from the existing understanding.At present,there is no unified standard for judging biliary stricture based on magnetic recanalization technique at domestic and abroad.This paper put forward for the first time in the world based on the magnetic recanalization technique of biliary stricture classification method.Based on the four key factors of stenosis degree,length of stenosis segment,angulation at both ends of the narrow biliary tract,and whether there is space transpose of the bile duct at both ends of the narrow biliary tract,biliary stricture after liver transplantation was divided into five major types.The scientific Yan-Lyu’s biliary stricture classification method was successfully constructed.Yan-Lyu’s biliary stricture classification can be used as an important method to determine whether magnetic recanalization technique can be used in patients with biliary stricture after liver transplantation,which operation path to adopt and to judge the prognosis.

关 键 词：磁外科 磁压榨技术 肝移植 胆道狭窄 磁吻合 磁力再通技术 

分 类 号：TH77[机械工程—仪器科学与技术]