肝移植术后肝动脉并发症的介入治疗

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摘要目的:对肝移植术后肝动脉并发症的早期诊断及介入治疗进行初步的探讨。方法:回顾性分析我院1999年9月~2005年2月进行的450例原位肝移植术后36例肝动脉并发症的诊断及介入治疗。其中肝动脉血栓形成5例,肝动脉狭窄28例,肝动静脉瘘1例,肝动脉狭窄伴吻合口破裂出血1例,假性动脉瘤形成1例。所有病例均经彩色多普勒及动脉造影证实。其中34例接受了介入治疗。结果:32例肝动脉并发症的介入治疗获得成功,未发生与介入治疗相关的并发症,术后肝功能有明显改善。2例肝动脉血栓形成接受血管内溶栓的患者死于肝功能衰竭。结论:介入方法对肝移植术后肝动脉并发症的早期诊断及治疗具有较大的应用价值。

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	陈凯
	陈光
	赵颖
	刘英秀
	王健
	祁吉

关键词 ：肝移植, 手术后并发症, 放射学, 介入性

Abstract：Objective: To define the role of interventional treatment in hepatic artery complications after liver transplantation. Methods: Of the 450 patients after liver transplantation, 36 cases with hepatic artery complications were encountered, and interventional treatment was performed in 34 of those patients. Results: Thirty-two cases of hepatic artery complications were successfully treated. There were no procedure-related complications. Conclusion: Interventional treatment is valuable in the detection and management for hepatic artery complications after liver transplantation.

Key words： liver transplantation postoperative complications radiology intervention

收稿日期: 2005-08-24

:	R657.3
	R815

引用本文:

陈凯;陈光;赵颖;刘英秀;王健;祁吉. 肝移植术后肝动脉并发症的介入治疗[J]. , 2006, 17(2): 65-67.
CHEN Kai;CHEN Guang;ZHAO Ying;LIU Ying-xiu;WANG Jian;QI Ji. Interventional treatment of hepatic artery complications after liver transplantation. , 2006, 17(2): 65-67.

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http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2006/V17/I2/65