血管腔内介入治疗儿童肝移植术后门静脉狭窄的长期疗效分析  

Intravascular therapy for portal vein stenosis after pediatric liver transplantation:analysis of long-term efficacy

作　　者：尹超 金龙[1] 张致远[1] 苏天昊[1] 陈广[1] YIN Chao;JIN Long;ZHANG Zhiyuan;SU Tianhao;CHEN Guang(Department of Interventional Radiology,Affiliated Beijing Friendship Hospital of Capital Medicine University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院放射介入科,北京100050

出　　处：《介入放射学杂志》2024年第4期409-413,共5页Journal of Interventional Radiology

摘　　要：目的探讨儿童肝移植术后门静脉狭窄(portal vein stenosis,PVS)血管腔内介入治疗的长期临床效果。方法对本中心2013年6月至2017年12月396例接受肝移植术后出现PVS的25例患者进行回顾性分析研究。所有PVS患者均经门脉造影证实,并行经皮血管球囊扩张成形术和(或)经皮血管支架植入术治疗。研究分析PVS患者血管腔内介入治疗的远期效果。结果25例患者一共接受了47次干预治疗(其中39次血管腔内球囊成形和8次支架植入),个体治愈率为88.0%(22/25)。所有患者无一例出现血管腔内介入治疗相关并发症。结论经过长期随访证实,小儿肝移植术后PVS血管腔内干预治疗的长期结果安全有效。Objective To discuss the long-term therapeutic effect of intravascular therapy for portal vein stenosis(PVS)after pediatric liver transplantation.Methods A total of 396 patients received liver transplantation at authors’medical center between June 2013 and December 2017.Among them,25 patients developed PVS after liver transplantation.The clinical data of the 25 child patients were retrospectively analyzed.In all the 25 child patients,the diagnosis of PVS was confirmed by portal venography,and percutaneous balloon angioplasty and/or percutaneous endovascular stenting were carried out in all patients.The long-term therapeutic effect of intravascular therapy for PVS was evaluated.Results A total of 47 times of intravascular interventional treatments,including 39 procedures of intracavitary balloon venoplasty and 8 procedures of stenting,were performed in the 25 child patients.The individual cure rate was 88.0%(22/25).No complications associated with endovascular interventional treatment occurred in all the 25 child patients.Conclusion After long-term follow-up observation,it is proved that the long-term outcomes of endovascular intervention therapy for PVS occurring after pediatric liver transplantation are clinically safe and effective.

关 键 词：儿童 肝移植 门静脉 狭窄 介入性 

分 类 号：R726.5[医药卫生—儿科]