超声引导下经皮肝穿刺胆管取石术治疗肝移植术后胆道远期并发症的效果  

Ultrasound-guided percutaneous transhepatic choledochocopic lithotony treatedlong-term complications of biliary tract after liver transplantation

作　　者：彭智 黄刚[2] 孙健 曹明溶[1] 劳学军[1] 胡敏[1] PENG Zhi;HUANG Gang;SUN Jian;CAO Mingrong;LAO Xuejun;HU Min(Department of Hepatobiliary Surgery,the First Affiliated Hospital,Jinan University,Guangzhou 510632,Guangdong,China;Department of Hepatobiliary Surgery,the First Affiliated Hospital,Guangzhou Medical University,Guangzhou 510030,Guangdong,China)

机构地区：[1]暨南大学附属第一医院肝胆外科,广东广州510632 [2]广州医科大学附属第一医院肝胆外科,广东广州510030

出　　处：《暨南大学学报（自然科学与医学版）》2023年第2期157-164,共8页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：广东省基础与应用基础研究基金项目(2022A1515011865);广东省医学科研基金项目(B2022064);暨南大学科研培育创新基金项目(11619356)。

摘　　要：目的:探讨超声引导下经皮肝穿刺胆管取石术(PTCL)治疗肝移植术后胆道远期并发症的疗效及优势。方法:选择2例肝移植术后胆道远期并发症患者,运用超声引导下PTCL进行胆管取石、胆管狭窄扩张及胆道支架取出。分析2例患者的皮肤瘙痒改善程度、肝功能指标、感染指标及胆管狭窄变化。结果:2例患者治疗后皮肤瘙痒症状显著减轻,肝功能及感染指标显著降低,放置的引流管既能通畅引流又能支撑胆管狭窄。结论:超声引导下PTCL能有效解决肝移植术后胆道远期并发症,该方法安全可行。Objective:To investigate the efficacy and advantages of ultrasound guided percutaneous transhepatic choledochoscopic lithotony(PTCL)in long-term complications of biliary tract after liver transplantation.Methods:Two patients with long-term complications of biliary tract after liver transplantation were treated by ultrasound-guided PTCL.The PTCL were used to remove the biliary stone,dilated bile duct stricture and take out the biliary stent.The improvement of skin itching,liver function,infection indexes and biliary stricture changes were analyzed.Results:After treatment,skin pruritus symptoms,liver function and infection indexes were significantly reduced in two patients.The drainage tube could not only smooth the drainage but also support the bile duct stenosis.Conclusion:Ultrasound-guided PTCL could effectively solve long-term complications of biliary tract after liver transplantation,and this method was safe and feasible.

关 键 词：经皮肝穿刺胆管取石术(PTCL) 超声引导 肝移植 胆道远期并发症 

分 类 号：R657.4[医药卫生—外科学]