摘要
目的探讨内支架治疗技术在肝移植术后门静脉狭窄治疗中的应用价值。方法回顾性分析肝移植术后发生门静脉狭窄的7例患者资料，所有患者均采用内支架置入治疗，对患者临床资料、影像随访资料、介入治疗的并发症和预后等情况进行总结。结果7例均成功置入门静脉内支架，所有患者术后均无与门静脉治疗相关的并发症发生。患者随访3～34个月。除1例因同时合并肝动脉闭塞、缺血性胆道损伤于术后3个月死于多脏器功能衰竭，其余6例患者影像随访显示门静脉通畅。结论肝移植术后门静脉狭窄的介入内支架治疗是一种安全、有效的治疗方法。
Objective To evaluate the therapeutic results of percutaneous transhepatic stent angioplasty for portal vein stenosis following liver transplant. Methods From 2005 to 2007, 7 patients developed portal vein stenosis following liver transplant. Percutaneous transhepatic stent angioplasty of the portal vein was performed in all patients. The therapeutic results were monitored by clinical follow-up and imaging examination. Results In seven patients, the percutaneous transhepatic stcnts were placed successfully. The follow up period ranged from 3 months to 34 months. Portal venous patency was maintained in six patients （ one patient died due to hepatic arterial thrombosis and ischemic insult to bile duct at three months following the stent placement）. No complications due to stent angioplasty occurred. Conclusion Percutaneous transhepatic stent angioplasty is an effective and safe method for treatment of portal vein stenosis following liver transplant.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2009年第11期1170-1172,共3页
Chinese Journal of Radiology
关键词
肝移植
门静脉
狭窄
病理性
支架
放射学
介入性
Liver transplantation
Portal vein
Constriction, pathologic
Stent
Radiology, interventional
