摘要
目的回顾性分析介入治疗在肝移植术后胆管及血管并发症的价值。方法肝移植手术30例,血管、胆管并发症并经影像学证实的患者11例,3例血管病变(血栓2例,吻合口狭窄1例),溶栓并球囊扩张行支架植入;6例肝移植术后梗阻性黄疸的病人,行PTCD并球囊扩张术;2例门静脉狭窄病人行球囊扩张。结果3例(血栓2例,吻合口狭窄1例)肝动脉狭窄,6例梗阻性黄疸,2例门静脉狭窄病人经介入治疗后,症状均显著改善。结论介入治疗是肝移植术后及时处理血管及胆管并发症的一种有效手段,它创伤小、操作简单、安全有效,值得临床推广应用。
Objective To explore the value of interventional therapy to treat vessels and bile duct complications after liver transplantation. Methods In 30 cases with liyer transplantation 11 were diagnozed with vessels and bile duct complications. Three of them with arteria hepatica diseases were performed thrombolysis; six of them with obstructive jaundice were performed PTCD; two of them with stricture of portal vein were broadened by sacculus proprius, Results The procedures were successful in all of 11 cases, symptoms were significantly improved. Conclusion Interventional therapy is a safe and easy procedure for treating vessels and duct complication after liver transplantation and has good effect. It is valuable for clinical generalization.
出处
《当代医学》
2009年第23期444-446,共3页
Contemporary Medicine
关键词
肝移植
血管
胆管
并发症
介入治疗
Liver transplantation Vessels Bile duct Complication Interventional therapy
