原位肝移植术后胆道狭窄的介入治疗  

Interventional therapy of biliary stricture after orthotopic liver transplantati on

作　　者：汪根树[1] 陈规划[1] 何晓顺[1] 朱晓峰[1] 陆敏强[1] 杨扬[1] 蔡常洁[1] 王国栋[1] 

机构地区：[1]中山大学附属第一医院器官移植中心,广州510080

出　　处：《中国实用外科杂志》2003年第12期731-733,共3页Chinese Journal of Practical Surgery

基　　金：卫生部临床学科重点项目 ( 2 0 0 1 32 1 );广东省医学联合攻关项目 ( 2 0 0 2B30 2 0 7);广东省科委攻关项目( 99B0 6 70 5G);广州市科委基金项目( 2 0 0 1 - 2 - 0 4 3- 0 1 - 1 )

摘　　要：目的　探讨原位肝移植 (OLT)术后胆道狭窄 (BS)的介入治疗方法和疗效。方法　 1993年 1月至2 0 0 3年 5月 ,应用经皮肝穿刺胆道造影 (PTC)、经十二指肠镜逆行胆道造影 (ERC)或经T管窦道胆道球囊扩张术、内支架术或引流术治疗 7例OLT术后BS。结果　 7例中 2例经PTC胆道介入治疗 3次 ,2次成功 ;5人经ERC胆道介入治疗 13次 ,均成功 ;1例经T管窦道胆道引流 3次 ,均成功。 6例治愈 ,治愈率达 85 7%。 1例长期携带肝内胆管引流管 ,术后 13个月死于肝功能衰竭。结论　经PTC、ERC或T管窦道胆道球囊扩张术。Objective To investigate the approach and effect of interve ntional therapy for biliary strictures(BS) after orthotopic liver transplantation(OLT ). Methods From January 1993 to May 2003, 7 patients with BS after OLT in our c enter received biliary balloon dilation, biliary stent or bile drainage through percutaneous transhepatic cholangiography(PTC), endoscopic retrograde cholangiog raphy(ERC) or T tube.Results In 7 patients,2 cases received biliary interventi onal therapy through PTC for 3 times with twice successful; 5 case s received successful biliary interventional therapy through ERC for 13 times;1 c ase received effective bile drainage through T tube for 3 times .Six of them we re cured,the cure rate being 85.7%.Bile drainage was kept in 1 patient until he died of liver function failure in 13 months after operation. Conclusion Bilia ry balloon dilation, stent or bile drainage through PTC,ERC or T tube are effect ive therapeutic approach for BS after OLT.

关 键 词：原位肝移植 术后 胆道狭窄 介入治疗 

分 类 号：R657.3[医药卫生—外科学] R657.4[医药卫生—临床医学]