摘要
目的探讨内镜治疗在肝移植术后胆道并发症中的作用。方法对我院2006年1月至2009年6月期间经内镜诊治的55例肝移植术后胆道并发症患者的临床资料进行回顾性分析。结果55例肝移植术后出现胆道并发症的患者共行内镜治疗98例次,治疗成功46例(83.6%),其中单纯胆瘘11例,胆管狭窄合并胆瘘4例,单纯胆管狭窄21例,胆管狭窄伴结石12例,单纯胆管结石3例,胆管扭曲2例,十二指肠乳头狭窄2例。针对不同的胆道并发症,采取了胆管扩张、鼻胆管引流、乳头切开取石、胆道支架置放等不同的治疗方式,发生内镜相关并发症13例次(13.3%)。结论内镜处理肝移植术后胆道并发症是一种安全、有效的方法,应该作为首选方法在临床上推广应用。
Objective To evaluate the therapeutic effects of endoscopic treatment on biliary tract complications after liver transplantation.Methods The clinical data of 55 patients with biliary tract complications after liver transplantation undergoing endoscopic treatment from January 2006 to June 2009 were analyzed retrospectively.Results Ninety-eight times of endoscopic treatment were performed in 55 patients.There were 11 cases of biliary fistula,4 cases of bile duct stricture with biliary fistula,21 cases of bile duct stricture,12 cases of bile duct stricture with biliary sludge or stones,3 cases of biliary sludge or stones,2 cases of angular distortion of the bile duct and papilla duodeni stenosis in 2 cases.Different procedures including biliary tract dilation,endoscopic nasobiliary drainage,endoscopic sphincterotomy,stone extraction technique and biliary stent placement were performed in different biliary tract complications.The endoscopic treatments were successful in 46 cases （83.6%）.The procedure related complications were found in 13 times （13.3%）.Conclusion Endoscopy may serve as the primary modality for treating biliary tract complications after liver transplantation with safety and effectiveness.
出处
《中国普外基础与临床杂志》
CAS
2010年第4期333-337,共5页
Chinese Journal of Bases and Clinics In General Surgery
关键词
肝移植
胆道并发症
内镜治疗
Liver transplantation
Biliary tract complication
Endoscopic treatment
