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活体肝移植肝静脉流出道狭窄的诊断与治疗

Diagnosis and management of hepatic venous outflow steno-sis in living donor liver transplantation
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摘要 肝静脉流出道狭窄是肝移植术后较为罕见的并发症,在活体肝移植中发生率为2%~4%。2006年6月至2010年5月,解放军总医院2例接受右肝活体肝移植的患者术后出现肝静脉流出道狭窄,接受保守治疗或介入球囊扩张成形术治疗。术后疗效显示:保守治疗肝静脉流出道狭窄具有一定的风险性;而介入肝静脉造影、球囊扩张以及金属支架置入能有效诊断和治疗肝静脉流出道狭窄。 Hepatic venous outflow stenosis is a rare complication after liver transplantation, its incidence after living donor liver transplantation (LDLT) is 2%-4%. Two recipients who suffered from graft hepatic venous outflow stenosis after right lobe LDLT received conservative treatment and interventional balloon dilatation at the Chinese PLA General Hospital from June 2006 to May 2010. The results demonstrated that conservative treatment is risk-taken for hepatic venous outflow stenosis, while interventional hepatic venous radiography, balloon dilatation and metallic stent placement are effective for the diagnosis and treat- ment of hepatic venous outflow stenosis.
出处 《中华消化外科杂志》 CAS CSCD 北大核心 2013年第11期859-861,共3页 Chinese Journal of Digestive Surgery
基金 国家科技部科技支撑计划项目(2012BAl06801)
关键词 肝静脉流出道狭窄 肝静脉 活体肝移植 球囊扩张 Hepatic venous outflow stenosis Hepaticvein Living donor liver transplantation Balloon dilatation
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