肝移植术后胆道并发症的处理经验分析

Experience of management of biliary complications after liver transplantation

目的探讨肝移植术后胆道并发症(biliary complications,BC)病例的危险因素、临床特征、诊治措施。方法结合本中心肝移植后2例BC病例中患者一般资料、检验、影像学资料以及诊治过程进行总结回顾,在治疗中通过实验室及影像学检查、临床表现等评估患者治疗效果。结果2例BC患者针对性及时给予经皮肝穿刺胆道引流(percutaneous transhepatic cholangial drainage,PTCD)、经内镜逆行性胰胆管造影术(encoscopic retrograde cholangio-pancreatography,ERCP)治疗后,患者症状缓解,术后预后良好。结论结合患者一般资料、检验及影像学检查、临床特点,早期发现、及时处理术后BC对改善肝移植后患者预后具有积极作用。

Objective To explore the risk factors,clinical features,diagnosis and treatment of biliary complications(BC)after liver transplantation.Methods The general condition,laboratory examination,radiographic data and diagnosis and treatment process of the 2 patients with BC after liver transplantation were summarized and reviewed,and the therapeutic effect of the patients was evaluated through laboratory and imaging examinations as well as clinical manifestations during the treatment.Results Two patients with BC were treated with endoscopic retrograde cholangio-pancreatography(ERCP)and percutaneous transhepatic cholangial drainage(PTCD)in a timely manner,their symptoms were relieved and their postoperative prognosis was good.Conclusion Combined with the general condition,laboratory examination,radiographic data and clinical features of the patients,early detection and timely treatment of BC have a positive effect on improving the prognosis of patients after liver transplantation.