解放军医学院学报Issue(4)：345-347,3.DOI:10.3969/j.issn.2095-5227.2015.04.012
肝移植术后非吻合口胆道狭窄的介入治疗
Interventional therapy in nonanastomotic biliary strictures after orthotopic liver transplantation
渠海贤 1敖国昆 2李强 2谈志远2
作者信息
- 1. 解放军总医院，北京 100853
- 2. 解放军第309医院 放射科，北京 100091
- 折叠
摘要
Abstract
Objective To explore the interventional treatment methods in nonanastomotic biliary strictures after orthotopic liver transplantation and observe the effectiveness.Methods Clinical data about 9 cases with nonanastomotic biliary strictures after liver transplantation from January 2009 to December 2013 in the 309th Hospital of Chinese PLA were retrospectively analyzed and balloon dilatation and drainage were performed through axillary midline approach and xiphoid process in 9 cases.Results Of the 9 cases characterized by multiple narrow intrahepatic bile ducts merging with bile mud formation, 2 cases had anastomotic stenosis and 1 case had anastomotic fistula. The treatment in 2 cases was invalid with progressive jaundice index and no obviously alleviated clinical symptoms and signs were found. While, the treatment in the other 7 cases was effective with decreased jaundice index and obviously alleviated clinical symptoms and signs.Conclusion Repeated balloon dilatation, biliary drainage of branches several times and repeated biliary shaping are effective methods for nonanastomotic biliary strictures.关键词
肝移植/胆管造影术/并发症/介入治疗Key words
liver transplantation/cholangiography/complications/interventionaltherapy分类
医药卫生引用本文复制引用
渠海贤,敖国昆,李强,谈志远..肝移植术后非吻合口胆道狭窄的介入治疗[J].解放军医学院学报,2015,(4):345-347,3.
