儿童肝移植术后门静脉并发症的诊治  

Diagnosis and Treatment of Portal Vein Complications after Pediatric Liver Transplantation

作　　者：易豪 康权[1,2,3,4,5] 

机构地区：[1]重庆医科大学附属儿童医院肝胆外科 [2]儿童发育疾病研究教育部重点实验室 [3]国家儿童健康与疾病临床医学研究中心 [4]儿童发育重大疾病国家国际科技合作基地,重庆 [5]儿科学重庆市重点实验室,重庆

出　　处：《临床医学进展》2021年第3期1374-1379,共6页Advances in Clinical Medicine

摘　　要：肝移植是治疗儿童终末期肝病的首选治疗,活体肝移植很好地解决了供体不足的问题。门静脉并发症是儿童肝移植术后主要并发症之一,主要和外科技术、供受体门静脉直径不匹配等相关,门静脉并发症早期多无临床症状,常由彩超发现,血管造影证实;晚期常表现为门静脉高压症状,治疗上以控制门静脉高压为主。血管内介入治疗由于具有其独特的优点,广泛运用于临床之中。Liver transplantation is the first choice for the treatment of end-stage liver disease in children. Living donor liver transplantation can solve the problem of donor shortage. Portal vein complication is one of the main complications after pediatric liver transplantation. It is mainly related to surgical technique and mismatch of donor and recipient portal vein diameter. Most portal vein complications are asymptomatic in the early stage, which are often found by color Doppler ultrasound and confirmed by angiography. In the late stage, symptoms of portal hypertension are often manifested. The treatment is mainly to control portal hypertension. Because of its unique advantages, intravascular interventional therapy is widely used in clinic.

关 键 词：儿童 肝移植 门静脉并发症 血管内介入 门静脉高压 

分 类 号：R65[医药卫生—外科学]