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肝移植术后肝动脉并发症的防治

Prevention and Treatment of Hepatic Artery Complications After Liver Transplantation

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【作者】 郝胜华; 明英姿; 叶启发; 黄祖发;

【Author】 HAO Sheng-hua,MING Ying-zi,YE Qi-fa,et al(Center of Transplantation,the Third Xiangya Hospital,Central South University,Changsha,Hunan 418013)

【机构】 中南大学湘雅三医院移植中心; 中南大学湘雅三医院移植中心 湖南长沙410013; 湖南长沙410013;

【摘要】 【目的】分析肝移植术后导致肝动脉并发症发生的相关因素,探讨其预防和治疗措施。【方法】总结回顾87例肝移植病例术后肝动脉并发症的发生,分析相关因素,并评估其预防和治疗效果。【结果】87例患者术后发生肝动脉并发症8例,发生率9.2%(8/87),其中6例死亡,病死率75%(6/8)。肝动脉并发症的主要形式为肝动脉血栓形成(5/8)和肝动脉狭窄(3/8)。其发生与受体年龄、动脉重建方式、血管吻合技术等因素密切相关。【结论】肝动脉并发症是肝移植术后极为凶险的一种并发症。加强预防措施,降低肝移植术后肝动脉并发症的发生是提高肝移植病人近、远期存活的重要环节。

【Abstract】 【Objective】To evaluate the preventing and treating methods of hepatic artery complications after liver transplantation.【Methods】The clinical data of 87 cases of liver transplantation were reviewed to analyze the incidence、 associated factors and efficacy of therapy.【Results】Hepatic artery complications occurred in 8 patients.Among them,5 cases were thrombosis;3 cases were stricture of hepatic artery;6 cases were dead.The main associated factors were following: the age of recipients;the methods of hepatic artery reconstruction;the technique of artery anastomosis.【Conclusion】Hepatic artery complications are fatal events to the recipients.The key step is to emphasize the prevention and reduce the incidence,so as to improve the survival of the patients undergone liver transplantation.

  • 【文献出处】 医学临床研究 ,Journal of Clinical Research , 编辑部邮箱 ,2006年08期
  • 【分类号】R657.3
  • 【下载频次】59
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