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胆道镜治疗肝移植术后肝内胆管阻塞40例
引用本文:蒋文涛,朱志军,邓永林,郑虹,潘澄,蔡金贞,张海明,魏林,沈中阳. 胆道镜治疗肝移植术后肝内胆管阻塞40例[J]. 中华消化外科杂志, 2006, 5(5): 324-328
作者姓名:蒋文涛  朱志军  邓永林  郑虹  潘澄  蔡金贞  张海明  魏林  沈中阳
作者单位:300192,天津市第一中心医院移植外科
摘    要:目的探讨胆道镜在诊断及治疗肝移植术后肝内胆管阻塞的价值。方法回顾性分析40例肝移植术后肝内胆管阻塞患者的资料。所有病例均经T管造影证实为肝内胆管阻塞伴狭窄,经T管途径扩张窦道并行胆道镜,再于X线透视下放管支撑。结果29例疗效满意;8例得到控制;3例效果较差,接受了再次移植。结论胆道镜治疗是肝移植术后肝内胆管阻塞的有效治疗方法。

关 键 词:胆管阻塞  胆道镜  肝移植
文章编号:1671-4555(2006)05-0324-05
修稿时间:2005-11-24

Choledochoscopic treatment of biliary obstruction after orthotopic liver transplantation: a report of 40 cases
JIANG Wen-tao,ZHU Zhi-jun,DENG Yong-lin,ZHENG Hong,PAN Cheng,CAI Jin-zhen,ZHANG Hai-ming,WEI Lin,SHEN Zhong-yang. Choledochoscopic treatment of biliary obstruction after orthotopic liver transplantation: a report of 40 cases[J]. Chinese Journal of Digestive Surgery, 2006, 5(5): 324-328
Authors:JIANG Wen-tao  ZHU Zhi-jun  DENG Yong-lin  ZHENG Hong  PAN Cheng  CAI Jin-zhen  ZHANG Hai-ming  WEI Lin  SHEN Zhong-yang
Abstract:Objective To discuss the value of choledochoscope in diagnosis and treatment of biliary obstruction after orthotopic liver transplantation. Methods A retrospective study was done on 40 cases with biliary obstruction after orthotopic liver transplantation. All cases were confirmed by T-tube cholangiography, treated with T-tube road dilation and choledochoscope and finally received catheters for supporting. Results Of all, 29 cases with biliary obstruction obtained satisfactory results and eight was controlled except for failed three who received secondary liver transplantation. Conclusions Choledochoscope is effective in treatment of biliary obstruction after orthotopic liver transplantation.
Keywords:Biliary obstructed  Choledochoscope  Liver transplantation  
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