经皮肝穿胆道引流术治疗肝移植术后胆道并发症

目的 评价介入方法治疗肝移植术后胆管并发症的价值.方法 回顾性分析1999年10月-2005年10月肝移植术后发生的6例胆道并发症的相关资料,其中胆总管狭窄2例、胆总管狭窄并胆瘘1例、胆瘘1例、胆汁瘤2例.结果 术后出现胆道并发症患者,经皮肝穿胆道引流治疗5例,放置胆道支架1例.手术均取得成功,患者的临床症状有所好转.结论 介入方法治疗肝移植术后胆管并发症可减少再手术创伤,提高生存率与生存质量,具有良好的近期效果.

Percutaneous transhepafic cholangiography and drainage for treatment of biliary complications after liver transplantation

Objective To evaluate the value of interventional biliary drainage for the treatment of biliary complications after liver transplantation(LT).Methods The clinical data of 6 patients with biliary complications after LT from October 1999 to October 2005 were retrospectively analyzed,including common bile duct stenosis(n = 2),common bile duct with fistula(n = 1),bile leaks(n = 1),biloma(n = 2).Results Percutaneous transhepatic cholangiography and drainage in 5 cases and 1 case of stent placement were identified as biliary tract complications after LT.The procedures were successful with clinical symptomatic improvement of the patients.Conclusion Interventional therapy is an effective modality for biliary complications after LT with reduction of reoperation and improvement of the living quality and survival rate.The short term effects were satisfied.(J Intervent Radiol,2007,16:275-277)