肝移植术后脾动脉盗血综合征的诊疗策略  

Diagnostic and therapeutic strategies for splenic artery steal syndrome after liver transplantation

作　　者：于家傲[1] 寇凯 吕行 李婷[1] 吕国悦[1] 孙晓东[1] Yu Jiaao;Kou Kai;Lyu Xing;Li Ting;Lyu Guoyue;Sun Xiaodong(Department of Hepatobiliary and Pancreatic Surgery,General Surgery Center,First Hospital of Jilin University,Changchun 130021,China)

机构地区：[1]吉林大学第一医院普通外科中心肝胆胰外科,长春130021

出　　处：《中华肝胆外科杂志》2024年第4期308-312,共5页Chinese Journal of Hepatobiliary Surgery

基　　金：吉林省科技发展计划(20190201268JC、20210204097YY)。

摘　　要：脾动脉盗血综合征(SASS)是肝移植术后的一种动脉相关并发症。目前对SASS的发生机制尚不清楚,而且其早期临床表现缺乏特异性,若未及时治疗可能会导致患者预后严重恶化。目前处理SASS主要依赖于外科医师术中的针对性预防措施,以及术后及时的诊断和治疗措施。笔者总结了SASS的国内外相关研究成果,探讨了未来的研究方向,以期为SASS的防治提供帮助。Splenic artery steal syndrome(SASS)is one of the arterial complications following liver transplantation.The pathogenesis of SASS remains unclear,and its early clinical manifestations lack specificity.If not treated promptly,it can significantly deteriorate patients’prognosis.Currently,the management of this complication relies heavily on the surgeon’s targeted preventive measures during surgery,along with timely postoperative diagnosis and treatment.In this review,the author summarizes the domestic and international research findings on SASS and discusses future research directions,aiming to aid in the prevention and treatment of SASS.

关 键 词：肝移植 脾动脉盗血综合征 发病机制 诊断 治疗 

分 类 号：R657.3[医药卫生—外科学]