期刊文献+

胆道镜联合介入治疗肝移植术后胆道阻塞的处理技巧

Role of intervention in combination with choledochoscopic in treatment of biliary obstruction after liver transplantation
原文传递
导出
摘要 目的 探讨胆道镜联合介入方法 在肝移植术后胆道阻塞诊治中的作用.方法 回顾性分析36例肝移植术后出现胆道狭窄伴有不同程度铸型形成的病人资料,所有病人均经T管途径实施了换管、窦道扩张、胆道镜治疗、置管支撑引流.结果 26例治疗有效,有效率72.2%,8例得到控制,2例接受再次肝移植.结论 胆道镜联合介入方法 是一种有效的肝移植术后胆道阻塞治疗方法 . Objective To evaluate intervention in combination with choledochoscopic in treatment of biliary obstruction after orthotopic liver transplantation.Methods A retrospective review was performed in the 36 patiants with biliary strictures and bilary cast after the liver tiamsplantalion.All the patients received changing catheters,T-tube sinus tract dilation,choledochoscopic treatment,keeping catheters drainage and supporting.Result 26 patiants got satisfactory results and 8 controlled.The left 3 patients underwent retransplantation.Conclusion Intervention in combination with choledochoscopic treatment is effective to deal with biliary obstruction after liver transplantation.
出处 《中华肝胆外科杂志》 CAS CSCD 北大核心 2010年第5期363-365,共3页 Chinese Journal of Hepatobiliary Surgery
关键词 肝移植 胆道阻塞 胆道镜 介入性 Liver transplantation Bile duct Choledochoscope Interventional
  • 相关文献

参考文献6

二级参考文献24

  • 1杨玉龙,谭文翔,吴萍,张宝善,冯秋实.肝移植术后纤维胆道镜的临床应用及诊治体会[J].中华消化内镜杂志,2004,21(5):344-346. 被引量:12
  • 2刘振文,邹卫龙,朱晓丹,张向兰,陈新国,刘煜,李威,沈中阳.原位肝移植术后胆道铸型综合症的预防和处理[J].中华器官移植杂志,2005,26(4):240-242. 被引量:14
  • 3叶辉,张锐敏,沈文律,金立人,吴言涛,吴和光,谭建三.HX-3液和UW液保存大鼠肝脏效果的比较[J].中华器官移植杂志,1997,18(1):50-53. 被引量:8
  • 4Parry SD, Muiesan P. Cholangiopathy and the biliary cast syndrome. Eur J Gastroenterol Hepatol, 2003, 15: 341-343.
  • 5Shah JN, Haigh WG, Lee SP, et al. Biliary casts after orthotopic liver transplantation: clinical factors, treatment, biochemical analysis. Am J Gastroenterol, 2003, 98: 1861-1867.
  • 6Waldram R, Williams R, Calne RY. Bile composition and bile cast formation after transplantation of the liver in man. Transplantation, 1975, 19: 382-387.
  • 7Pirenne J, Van Gelder F, Coosemans W, et al. Type of donor aortic preservation solution and not cold ischemia time is a major determinant of biliary strictures after liver transplantation. Liver Transpl, 2001, 7: 540-545.
  • 8Gopal DV, Pfau PR, Lucey MR. et al. Endoscopic management of biliary complications after orthotopic liver transplantation.Curr Treat Options Gastroenterol, 2003, 6: 509-515.
  • 9Moscas D, Militernog J. Late billary tract complications after orthotopic liver transplantation: diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography. J Gastroenterol Hepatol, 2000,15 : 6542.
  • 10Busuttil RW, Klintmalm GB. Transplantation of the liver. Pennsylvania: W.B. Saunders Company, 1996. 617-625.

共引文献28

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部