原位肝移植术后胆道并发症的病因及诊断治疗

Causes and strategy of diagnosis & treatment of biliary complications after orthotopic liver transplantation

目的探讨原位肝移植术后胆道并发症的原因及诊断治疗。方法分析2003-03～2007-06接受原位肝移植的98例患者的临床资料,探讨原位肝移植术后胆道并发症的原因及诊断治疗方法。结果术后发生胆道并发症患者12例,其中胆道狭窄4例,胆管吻合口狭窄2例,术后吻合口胆漏1例,T管拔除后胆漏2例,肝内胆道铸型结石2例,胆总管结石1例。结论肝移植术后胆道并发症的病因复杂,胆道并发症的早期诊断和治疗是提高肝移植患者术后生存期及生存质量的关键。

Objective To explore the causes and strategy of diagnosis ＆ treatment of biliary complications after orthotopic liver transplantation. Method The clinical datas of the 98 patients who were treated with orthotopic liver transplantation from March 2003 to June 2007 were analyzed. Result In the 98 patients, biliary complications occurred in 12 patients （12%）; biliary stricture occurred in 4 patients,biliary anastomosis stoma stricture occurred in 2 patients, anastomosis leakage after operation occurred in 1 patient, biliary leakage following T-tube removal in 1 patient, intrabiliary moldings occurred in 2 patients, cholidocholith occurred in 1 patient. Conclusion Causes of biliary complications after liver transplantation are complex, early diagnosis and treatment of biliary complications after orthotopic liver transplantation are the key to improve patients＇ survival time and quality of life.