亲缘性活体部分小肠移植术

Living related small bowel transplantation

目的 介绍我国首例亲缘性活体部分小肠移植术的临床处理体会。方法 受体为男性 ,18岁 ,因短肠综合征而接受小肠移植。供体 ,男性 ,44岁 ,为受体之父。取供体回肠末段 15 0cm ,移植给患者 ,术后给予抗免疫排斥、抗感染、抗凝及营养支持等治疗。结果目前 ,患者已健康生存 19个月 ,移植肠功能恢复良好。结论 亲缘性活体部分小肠移植术是治疗短肠综合征的有效手段 。

Objective To introduce the management experience in the first cause of living related small bowel transplantation in China. Methods An 18 year old male patient with short gut syndrome received a living related small bowel transplantation with the graft taken from his father(44 year old). A segment of 150?cm distal ileum was resected from the donor. Treatment of immunosuppression, antibiotics, antithrombosis and nutrition support were given posttransplantatively. Results Recently the recipient has a good life quality for 19 months. Conclusions Living related small bowel trnasplantation can be effectively used to treat short gut syndrome, and the posttransplantative management is the key to the successful transplantation.