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内镜治疗在肝移植术后胆道并发症中的地位和作用 被引量:8

Role of endoscopic management of biliary complications after orthotopi cliver transplantation
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摘要 目的 探讨内镜治疗在肝移植术后胆道并发症中的地位和作用。方法 对 1993年 4月至 2 0 0 2年 12月实施的 2 10例肝移植病人临床资料进行回顾性分析。结果 共确诊 2 9例肝移植术后胆道并发症。胆道并发症发生率为 13 8% ,与胆道并发症相关的病死率为 1 4%。内镜治疗占 53 3 % (2 4/ 45)。结论 内镜下逆行胰胆管造影 (ERCP)对胆道并发症既能准确诊断 ,又能提供有效的介入治疗手段。ERCP治疗吻合口漏、吻合口狭窄和胆总管结石的疗效理想 。 ObjectiveTo study the role of endoscopic diagnosis and tre atment of biliary complications after liver transplantation. MethodsA ret rospective r eview of 210 liver transplant recipients treated from April, 1993 to Decemb er, 2002 was made. Resul tsBiliary complication occurred in 29 cases with the incidence being 13 8%. The mortality related to biliary complications was 1 4%. 53 3% (24 out of 45) of the management was performed by endoscopic retrograde cholangiopancreatography(ERCP ). Conclus ionERCP can diagnose and treat biliary complications of ort hotopic liver transplantation. The anastomotic leak,anastomotic stenosis and co mmon duct stones can be managed with ERCP effectively. In cases with ischemic- ty pe lesions, the role of ERCP is predominantly diagnostic.
出处 《中国实用外科杂志》 CSCD 北大核心 2003年第11期664-665,共2页 Chinese Journal of Practical Surgery
基金 卫生部临床重点学科项目 (NO :2 0 0 1 32 1 ) 广东省重大科技联合攻关项目 (NO :2 0 0 2B30 2 0 7) 广州市科委重点攻关项目 (NO :2 0 0 1Z0 4 30 1 )资助
关键词 内镜治疗 肝移植 术后 胆道 并发症 Liver transplantationBiliary complicationsERCP
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参考文献5

  • 1陈规划,陆敏强,何晓顺,朱晓峰,王国栋,杨扬,蔡常洁.改良背驮式肝移植69例报告[J].中国实用外科杂志,2002,22(7):405-407. 被引量:73
  • 2Mosca S, Militemo G, Guardascione MA, et al. Late biliary tract complications after orthotopic liver transplantation: diagnostic and therapeutic role of endoscopic retrograde cholangiopancreatography. J Gastroenterol Hepatol, 2000,15(6) :654 - 660.
  • 3Johnston TD, Gates R, Reddy KS, et al. Nonoperative management of bile leaks following liver transplantation. Clin Transplant,2000,14(4Pt2) :365 - 369.
  • 4Gibbons JC, Williams SJ. Progress in the endoscopic management of benigh biliary strictures. J Gastroentero Hepatol. 1998,13(2):116- 124.
  • 5Hintze RE, Adler A, Veltzke W, et al. Endoscopic management of biliary complications after orthotopic liver transplantation. Hepato-gastroenterology, 1997,44 ( 13 ) : 258 - 262.

二级参考文献3

  • 1[1]Navarro F,Le Moino MC,Fabre JM,et al.Specific vascular complications of orthotopic liver transplantation with preservation of the retrohepatic vena cava:review of 1361 cases.Transplantation,1999,68(5):646
  • 2[2]Parrilla P,Sanchez-Bueno F,Figueras J,et al.Analysis of the complications of the piggy-back technique in 1112 liver transplants.Tranplantation,1999,67(9):1214
  • 3[3]Wu YM,Voigt M,Rayhill S,et al.Suprahepatic venacavaplasty(cavaplasty) with retrohepatic cava extension in liver transplantation:experience with first 115 cases.Transplantation,2001,72(8):1389

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