摘要
目的探讨透视下经皮门静脉穿刺与Onyx胶封堵穿刺入路在胰岛细胞移植术中的安全性和有效性。方法收集天津市第一中心医院2015年6月-2016年6月进行胰岛细胞移植5例患者的临床资料,患者均为透视下经皮经肝门静脉穿刺、门静脉内胰岛细胞移植,术后均应用Onyx胶封堵门静脉穿刺道,术后观察有无出血及感染并发症发生。结果5例患者均门静脉穿刺成功,技术成功率为100%。胰岛细胞移植前后门静脉压力为6~15mmHg（1 mmHg=0.133 kPa）,平均（9.40±3.91）mmHg,移植后门静脉压力为6~15mmHg,平均（10.20±4.44）mmHg,胰岛细胞移植前后门静脉压力差异无统计学意义（P〉0.05）。术中及术后随访观察无介入治疗相关并发症发生。结论透视下经皮门静脉穿刺与Onyx胶封堵穿刺入路在胰岛细胞移植术中安全、有效。
Objective Evaluation of the efficacy and safety of Percutaneous portal vein puncture and onyx glue for the closure of transhepatic puncture tracts in islet cell transplantation patients.Methods Between June 2015 and June 2016,5 percutaneous transhepatic accesses were closed using percutaneous Onyx glue in islet cell transplantation patients under fluoroscopy.To observation the complications of bleeding and infection,Postoperatively.Results In islet cell transplantation patients,percutaneous portal vein puncture success rate was 100%.The portal venous pressure was 6-15 mmHg[（9.40±3.91） mmHg.lmmHg = 0.133 kPa]before islet cell transplantation.The portal venous pressure was 6-15 mmHg[（10.20 ±4.44） mmHg J after transplantation.The portal vein pressure showed no statistically significant differences before and after transplantation（P 〉0.05）.Intraoperative and postoperative follow-up showed no treatment-related complication.Conclusion Percutaneous portal vein puncture and onyx glue application are effective and safe technique for the closure of transhepatic accesses in islet cell transplantation patients.
作者
高海军
王浩
伊正甲
王树森
陈光
Gao Haijun Wang Hao Yi Zhengjia Wang Shusen Chen Guang(Organ Transplantation Center, Tianjin First Center Hospital, Tianfin 300192, China Tianjin Key Laboratory of Organ Transplantation, Tianjin 300192, China Key Laboratory for Critical Care Medicine of Ministry of Health, Tianfin 300100, China.)
出处
《实用器官移植电子杂志》
2016年第6期374-377,共4页
Practical Journal of Organ Transplantation(Electronic Version)
基金
国家临床重点专科建设项目(2013544)
天津市自然科学基金项目(13JCYBJC42600)
公益性行业科研专项(201302009)
关键词
胰岛细胞移植
经皮门静脉穿刺
门静脉穿刺入路封堵
Islet cell transplantation
Percutaneous portal vein puncture
The closure of transhepatic puncture tracts
