摘要
目的：总结背驮式肝移植的临床经验。方法：回顾性分析2000年8月～2005年12月本院实施18例背驮式肝移植的临床资料及随访情况。结果：围手术期死亡2例，2例均死于腹腔感染及MODS；并发胆管吻合口狭窄1例，经介入治疗临床症状消失；16例痊愈出院；出院的16例中15例已恢复正常工作及生活，最长已存活4年；1例出院后合并巨细胞病毒性肝炎，半年后死亡。结论：背驮式肝移植安全，简便．是治疗终末期肝病的有效手段，适用于绝大多数接受肝移植的患者；保证供肝流出道畅通是手术成功的关键之一。
Objective： To summarize the clinical experience of 18 cases of piggyback liver transplantation （PBLT） performed in our hospital. Met hods ： Eighteen cases receiving PBLT from August 2000 to December,2005 were analyzed retrospectively. Results： Among the 18 patients 2 cases died of severe abdominal cavity infection and MODS during preoperative period and 1 obtained with bile duct anastomosis stricture. Among 16 cases who were discharged from hospital, 15 came back to a normal life and 1 suffered from CMV hepatitis and was dead after 6 month. Conclusion： The PBLT is a simple and safe operation and effective measure for the end-stage of liver disease; the unobstructed outflow the homografi is important.
出处
《实用临床医学（江西）》
CAS
2006年第8期63-65,共3页
Practical Clinical Medicine
关键词
肝移植
背驮式
临床经验
liver transplantation
piggyback
clinical experience
