肝移植术后早期急性肝动脉血栓介入治疗的临床应用  

Clinical Application of Interventional Therapy for Early Acute Hepatic Artery Thrombosis after Liver Transplantation

作　　者：冯凯 刘文浩 黄湘荣[1] 朱文科[1] 赵东[2] 王立非[1] FENG Kai;LIU Wen-hao;HUANG Xiang-rong;ZHU Wen-ke;ZHAO Dong;WANG Li-fei(Department of Interventional Radiology,The Third People’s Hospital of Shenzhen,Shenzhen 518100,Guangdong Province,China;Department of Liver Transplantation,The Third People’s Hospital of Shenzhen,Shenzhen 518100,Guangdong Province,China)

机构地区：[1]深圳市第三人民医院放射介入科,广东深圳518100 [2]深圳市第三人民医院肝移植科,广东深圳518100

出　　处：《罕少疾病杂志》2023年第5期54-56,共3页Journal of Rare and Uncommon Diseases

基　　金：深圳市卫健委学科能力提升项目(SZXJ2018051)。

摘　　要：目的探讨血管介入治疗在肝移植术后早期急性肝动脉血栓治疗的应用价值。方法回顾性分析2017年7月至2021年5月在深圳市第三人民医院肝移植术后出现早期肝动脉血栓的8例患者临床资料,对手术治疗近期疗效、并发症、中远期疗效等进行总结。结果8例患者中介入治疗成功率为87.5%;另外1例患者因出现腹腔大出血,停止溶栓;7例溶栓治疗有效患者至随访截止时有3例患者血管通畅,1例患者血管狭窄,3例患者血管闭塞;有3例患者出现胆道并发症,其中1例患者因胆道感染死亡。结论血管内介入治疗对肝移植术后早期HAT有较好的临床治疗作用,可作为肝移植术后早期HAT的常规治疗方法。Objective To investigate the application value of vascular interventional therapy in the treatment of early acute hepatic artery thrombosis after liver transplantation.Methods The clinical data of 8 patients with early hepatic artery thrombosis after liver transplantation in Shenzhen Third People's Hospital from July 2017 to May 2021 were retrospectively analyzed.etc.to summarize.Results Among the 8 patients,the success rate of interventional therapy was 87.5%;the other 1 patient stopped thrombolysis because of massive abdominal hemorrhage;3 patients had vascular patency and 1 patient had vascular stenosis at the end of follow-up.,3 patients had vascular occlusion;3 patients had biliary complications,and 1 patient died of biliary tract infection.Conclusion Endovascular interventional therapy has a good clinical therapeutic effect on early HAT after liver transplantation,and can be used as a routine treatment for early HAT after liver transplantation.

关 键 词：肝移植 肝动脉血栓 介入治疗 

分 类 号：R322.47[医药卫生—人体解剖和组织胚胎学]