[1]王昌明,李 选,宋世兵,等.肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用[J].介入放射学杂志,2012,(02):136-139.
　WANG Chang-ming,LI Xuan,SONG Shi-bing,et al.The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation[J].journal interventional radiology,2012,(02):136-139.
点击复制

肝门部胆道引流管折叠技术在肝移植后胆道非吻合口狭窄治疗中的应用 ()

PDF下载中关闭

分享到：

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2012年02期
页码:
136-139
栏目:
非血管介入
出版日期:
2012-02-28

文章信息/Info

Title:
The application of biliary catheter folding technique in the treatment of hilar nonanastomotic biliary strictures after orthotopic liver transplantation
作者:
 王昌明;  李 选;  宋世兵;  栾景源;  吕献军;  赵 军;  董国祥
100191 北京 北京大学第三医院介入血管科，普外科；南京明基医院放射科
Author(s):
WANG Chang-ming;  LI Xuan;  SONG Shi-bing;  LUAN Jing-yuan;  LV Xian-jun;  ZHAO Jun;  DONG Guo-xiang.
Department of Interventional Radiology and Vascular Surgery, Peking University Third Hospital, Beijing 100191, China
关键词:
 ; 【关键词】 肝移植;  手术后并发症;  胆管狭窄;  介入治疗
文献标志码:
A
摘要:
 【摘要】 目的 介绍全新设计经皮经肝胆道引流管肝门部胆管折叠技术，以单一入路实现双侧胆道支撑引流；研究该技术在治疗原位肝移植后肝门部非吻合口胆道狭窄中的疗效和安全性。方法 ２０００年７月至２０１０年７月收治１０例原位肝移植后非吻合口胆道狭窄患者。胆道狭窄处予球囊扩张，胆道引流管置入后，在肝门部胆管内折叠成Ｙ形，实现左、右肝管并肝总管三向支撑引流。分析其技术成功率、临床疗效、并发症率及复发率等。结果 技术成功率为１０／１０。９例临床症状缓解，生化指标恢复正常，影像学检查有明显改善。２６个月（中位数）的随访中，未见复发。２例有轻微并发症。１例治疗失败，行第２次肝移植后死亡。结论 经皮经肝胆道引流管肝门部胆管汇合部折叠技术在技术上是可行的；在原位肝移植后非吻合口肝门部胆道狭窄治疗中的初步应用结果表明，其技术成功率、疗效、安全性均令人满意。

参考文献/References:

[1] Ryu CH, Lee SK. Biliary strictures after liver transplantation[J]. Gut Liver, 2011, 5: 133 - 142.
[2] Guichelaar MM, Benson JT, Malinchoc M, et al. Risk factors for and clinical course of non-anastomotic biliary strictures after liver transplantation[J]. Am J Transplant, 2003, 3: 885 - 890.
[3] Tabibian JH, Asham EH, Goldstein L, et al. Endoscopic treatment with multiple stents for post-liver-transplantation nonanastomotic biliary strictures[J]. Gastrointest Endosc, 2009, 69: 1236 - 1243.
[4] Diamond NG, Lee SP, Niblett RL, et al. Metallic stents for the treatment of intrahepatic biliary strictures after liver transplantation[J]. J Vasc Interv Radiol, 1995, 6: 755 - 761.
[5] Petersen BD, Timmermans HA, Uchida BT, et al. Treatment of refractory benign biliary stenoses in liver transplant patients by placement and retrieval of a temporary stent-graft: work in progress[J]. J Vasc Interv Radiol, 2000, 11: 919 - 929.
[6] Abt P, Crawford M, Desai N, et al. Liver transplantation from controlled non-heart-beating donors: an increased incidence of biliary complications[J]. Transplantation, 2003, 75: 1659 - 1663.
[7] Buis CI, Geuken E, Visser DS, et al. Altered bile composition after liver transplantation is associated with the development of nonanastomotic biliary strictures[J]. J Hepatol, 2009, 50: 69 - 79.
[8] 单 鸿, 姜在波. 围肝移植并发症介入治疗的认识[J]. 介入放射学杂志, 2009, 18: 161 - 163.
[9] 黄 强, 翟仁友, 戴定可, 等. 肝移植术后胆道并发症的介入诊疗[J]. 介入放射学杂志, 2007, 16: 544 - 547.
[10] 贾广志, 张子东, 王学静, 等. 胆道双支架置入治疗肝门部胆管癌[J]. 介入放射学杂志, 2004, 13: 441 - 443.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury ：case report and literature review[J].介入放射学杂志,2007,(10):718.
　ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury ：case report and literature review[J].journal interventional radiology,2007,(02):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠１１例[J].介入放射学杂志,2011,(11):898.
　LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(02):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
　LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(02):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
　ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(02):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合１２５Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
　XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(02):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
　WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(02):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
　DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(02):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
　MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(02):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张３０例[J].介入放射学杂志,2011,(11):905.
　WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(02):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌ＴＡＣＥ术后完全缓解病灶磁共振 ＡＤＣ值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
　DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(02):867.

备注/Memo

备注/Memo:

(收稿日期:2011-09-04)
更新日期/Last Update: