肝移植术后胆管铸型的免疫组化分析
摘要
肝移植术后胆管铸型(BC)的发生机制目前尚不清楚。杨玉龙等在治疗肝移植术后BC时发现,有一部分BC是在术后2~3个月才开始出现,之前胆道造影未见明显异常,取出BC后,胆管均有不同程度的损伤,Ⅰ、Ⅱ级胆管损伤明显,而Ⅲ级及以上胆管的损伤程度较轻,结合超声检查提示的肝动脉管径及血流均正常,考虑可能有排斥反应的因素。
出处
《中华器官移植杂志》
CAS
CSCD
北大核心
2011年第5期311-312,共2页
Chinese Journal of Organ Transplantation
参考文献7
-
1Starzl TE, Putnam CW, Hansbrough JF, et al. Biliary complications after liver transplantation: with special reference to the biliary cast syndrome and techniques of secondary duct repair. Surgery, 1977, 81(2).212-221.
-
2Shah JN, Haigh WG, Lee SP, et al. Biliary casts after orthotopic liver transplantation: clinical factors, treatment, bio chemical analysis. Am J Gastroenterol, 2003, 98 (8): 1861- 1867.
-
3Sawyer RG, Punch JD. Incidence and management of biliary complications after 291 liver transplants following the introduction of transcystic stenting. Transplantation, 1998, 66 (9):201- 1207.
-
4Ramacciato G, Varotti G, Quintini C, et al. Impact of biliary complications in right lobe living donor liver transplantation. Transpl Int, 2006, 19(2) : 122-127.
-
5Starzl TE, Ishikawa M, Putnam CW, et al, Progress in and deterrents to orthotopic liver transplantation, with special reference to survival, resistance to hyperacute rejection, and biliary duct reconstruction. Transplant Proc, 1974, 6 (4 Suppl l ) .S129-139.
-
6Starzl TE, Porter KA, Putnam CW, et al. Orthotopic liver transplantation in ninety three patients. Surg Gynecol Obstet, 1976, 142(4) .487- 505.
-
7刘振文,王建立,陈新国,刘煜,朱晓丹,李威,吴凤东,邹卫龙,牛玉坚,关兆杰,岳阳,沈中阳.肝移植术后严重胆管损伤并发症行再次肝移植治疗[J].中华器官移植杂志,2005,26(6):339-341. 被引量:3
二级参考文献6
-
1Osorio RW, Freise CE, Stock PG, et al. Nonoperative management of biliary leaks after orthotopic liver transplantation. Transplantation, 1993, 55:1074-1077.
-
2Michacl AJ Moser, William J Wall. Management of biliary problems after liver transplantation. Liver Transpl, 2001,7(Suppl 2):46-52.
-
3Porayko MK, Kondo M, Steers JL. Liver transplantation :late complications of the biliary tract and their management. Semin Liver Dis,1995, 15:139.
-
4Bilbao I, Figueras J, Grande L, et al. Risk factors for death following liver retransplantation. Transplant Proc, 2002,35:1871-1873.
-
5Postma R, Haagsma EB, Peeters PM, et al. Retransplantation of the liver in adults:outcome and predictive factors for survival.Transpl Int, 2004 , 17: 234-240.
-
6Saito S, Languas AN, Stratla RJ,et al. Hepatic retransplantion:university of nebraska medical center experience. Clin Transplant, 1992, 46:430-435.
共引文献2
-
1计勇,何晓顺,朱晓峰,王东平,马毅,钱世鹍,鞠卫强,巫林伟,黄洁夫.再次肝移植22例的指征与疗效分析[J].中华普通外科杂志,2006,21(6):405-407. 被引量:4
-
2白洋,宋世兵,修典荣,蒋斌,王昌明,张同琳,杨晓霞.再次肝移植手术临床病例分析:附六例[J].中华肝胆外科杂志,2008,14(10):688-690. 被引量:2
-
1秦小云,文质君,钟世镇,徐达传.腹直肌肌皮瓣的解剖与乳房重建[J].中国临床解剖学杂志,1995,13(1):30-33. 被引量:5
-
2于强,杨玉龙,林美举,张洪威,史力军.肝移植术后胆管铸型与肝胆管结石的形态学比较研究[J].中华外科杂志,2011,49(7):650-651. 被引量:3
-
3张新根,缪夕杭,黄显军,石钢,唐一兵,郭征东,姜磊.不同条件末节指断指修复方法临床研究[J].全科医学临床与教育,2009,7(6):615-616. 被引量:2
-
4黄长文,傅华群.再次肝移植治疗缺血性胆管铸型症(附一例报告及文献复习)[J].江西医学院学报,2006,46(6):94-96.
-
5高群兴,张盛强,朱干.推拿配合调曲牵引治疗腰椎滑脱症疗效观察[J].新中医,2012,44(5):104-105.
-
6TRANSPLANTATION[J].外科研究与新技术,2005(4):288-292.
-
7于强,杨玉龙,林美举,张洪威,史力军,李婧伊,张诚.经皮经肝胆道镜治疗肝移植术后胆管铸型的安全性及其临床价值观察[J].中华消化内镜杂志,2011,28(3):146-149. 被引量:8
-
8张诚,杨玉龙,马跃峰,张洪威,史力军,李婧伊,林美举.经PTC途径的持续性球囊扩张在肝移植术后胆管吻合口狭窄中的应用价值[J].临床医学研究与实践,2016,1(1):13-15. 被引量:3
-
9杨玉龙,刘振文,林美举,张洪威,史力军.原位肝移植后胆管铸型组肝功能分析及预警指标筛选[J].中国组织工程研究与临床康复,2011,15(31):5707-5712. 被引量:5
-
10张诚,杨玉龙,吴萍,林美举,张洪威,史力军,李婧伊,张虎.非肝移植胆管铸型1例报道并文献复习[J].中国普外基础与临床杂志,2014,21(6):757-760. 被引量:1