临床小儿外科杂志Issue(1)：20-22,3.DOI:10.3969/j.issn.1671-6353.2016.01.006
胆道闭锁术后反复发作性胆管炎抗感染治疗的中长期随访
The result of medium to long term follow-ups after anti-infective therapy for recurrent cholangitis after Kasai operation
张瞡 1林涛 1黄柳明 1刘钢 1余梦楠 1谢华伟 1邢国栋 1覃胜灵1
作者信息
- 1. 北京军区总医院附属八一儿童医院小儿基础外科 北京市，100700
- 折叠
摘要
Abstract
Objetive To discuss the survival of the patients’native liver and the appropriate time for their liver transplantation after they received anti-infective therapy for postoperative recurrent cholangitis. Methods A retrospective analysis was made on 18 cases who have had recurrent cholangitis after Kasai opera-tion in our hospital between 2002 and 2011,the episodes of cholangitis <4 w,and cholangitis was prolonged >4 m.A medium to long term follow-up visit was taken to observe the patients’survival condition. Results Except 2 cases have undergone liver transplantation at 4 months and 5 months after initial chonglangitis respec-tively;16 cases were continued under antibiotic therapy.12 cases of which have no cholangitis symptom after 6 to 15 months.10 /12 cases were alive with their native liver after 5 to 12 years,however liver cirrhosis were exi-ted;2 /12 cases have undergone liver transplantation for further ascties or gastrointestinal bleeding.Another 4 cases have undergone PTBD for developing intrahepatic biliary cysts.In which 1 case were dead;2 cases were finally accecpted liver transplantation;another 1 case was underwent redo hepatico-portoenterostomy but recur-rent cholangitis were occurred after surgical intervention for additional 15 months.Fortunately she was survival with native liver for 6 years until now.Conclusions Proper treatment for recurrent cholangitis may lead to a relative long term survival with native liver.When intrahepatic biliary cysts occured,liver transplantation should be considered.关键词
胆道闭锁/外科手术/胆管炎/治疗Key words
Biliary Atresia/Surgical Procedures,Operative/Cholangitis/Therapy引用本文复制引用
张瞡,林涛,黄柳明,刘钢,余梦楠,谢华伟,邢国栋,覃胜灵..胆道闭锁术后反复发作性胆管炎抗感染治疗的中长期随访[J].临床小儿外科杂志,2016,(1):20-22,3.
