内镜逆行胰胆管造影术治疗肝移植术后胆道并发症的疗效观察

Effect of Endoscopic Retrograde Cholangiopancreatography on Biliary Tract Complications After Liver Transplantation

目的:分析内镜逆行胰胆管造影术治疗肝移植术后胆道并发症的疗效和价值。方法:选择2021年4月~2023年4月天津第一中心医院收治的肝移植术后出现胆道并发症的患者,纳入其中21例进行分析。按照入院先后顺序分为对照组(前10例,经皮肝穿刺胆道引流术)、观察组(后11例,内镜逆行胰胆管造影术)。比较两组患者治疗效果、并发症和生活质量评分。结果:观察组并发症好转率高于对照组(P<0.05)。观察组术后并发症发生率低于对照组(P<0.05)。观察组治疗后存活时间、肝移植术后存活时间均优于对照组(P<0.05)。随访3个月后,观察组生活质量评分高于对照组(P<0.05)。结论:肝移植术后胆道并发症采用内镜逆行胰胆管造影术治疗效果显著,该方式安全、有效,有助于促进并发症转归并提高患者生存质量,远期预后理想。

Objective:To analyze the efficacy and value of endoscopic retrograde cholangiopancreatography in the treatment of biliary tract complications after liver transplantation.Methods:A total of 21 patients with biliary tract complications after liver transplantation admitted to Tianjin First Central Hospital from April 2021 to April 2023 were included for analysis.According to the order of admission,the patients were divided into the control group(the first 10 cases,percutaneous hepatic aspiration biliary drainage)and the study group(the last 11 cases,endoscopic retrograde cholangiopancreatography).Treatment effect,complications and quality of life scores were compared between the two groups.Results:The complication recovery rate of the study group was higher than that of the control group(P<0.05).The incidence of postoperative complications in the study group was lower than that in the control group(P<0.05).The survival time after treatment and after liver transplantation in the study group were better than those in the control group(P<0.05).After 3 months of follow-up,the quality of life score of the study group was higher than that of the control group(P<0.05).Conclusion:Endoscopic retrograde cholangiopancreatography is effective in the treatment of biliary tract complications after liver transplantation.This method is safe and effective,which is helpful to promote the outcome of complications and improve the quality of life of patients.The long-term prognosis is ideal.