| 肝移植术后早期动脉并发症的治疗与预后 |
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| 引用本文： | 赵昕,王明锋,金中奎,樊华,李先亮,吴天鸣,贺强,陈大志. 肝移植术后早期动脉并发症的治疗与预后[J]. 中华肝胆外科杂志, 2011, 17(11): 902-904. DOI: 10.3760/cma.j.issn.1007-8118.2011.11.010 |
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| 作者姓名： | 赵昕 王明锋 金中奎 樊华 李先亮 吴天鸣 贺强 陈大志 |
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| 作者单位： | 首都医科大学附属北京朝阳医院肝胆胰脾外科暨北京市器官移植中心肝移植部, 北京,100020 |
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| 摘 要： | 目的 探讨原位肝移植术(OLT)后动脉并发症的危险因素和诊治策略.方法 回顾性分析2005年1月至2007年9月180例原位肝移植临床资料.比较肝良性疾病与原发性肝癌原位肝移植术后动脉并发症的发生率.观察动脉并发症受者的长期生存率.结果 180例中,12例(6.7％)发生动脉并发症,其中肝动脉血栓(HAT)3例,肝...
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| 关 键 词： | 肝移植 肝动脉血栓 肝动脉狭窄 原发性肝癌 |
Diagnosis and treatment of early-stage hepatic artery complications after orthotopic liver transplantation |
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| ZHAO Xin,WANG Ming-feng,JIN Zhong-kui,FAN Hua,LI Xian-liang,WU Tian-ming,HE Qiang,CHEN Da-zhi. Diagnosis and treatment of early-stage hepatic artery complications after orthotopic liver transplantation[J]. Chinese Journal of Hepatobiliary Surgery, 2011, 17(11): 902-904. DOI: 10.3760/cma.j.issn.1007-8118.2011.11.010 |
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| Authors: | ZHAO Xin WANG Ming-feng JIN Zhong-kui FAN Hua LI Xian-liang WU Tian-ming HE Qiang CHEN Da-zhi |
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| Abstract: | Objective To determine the risk factors and the optimal management of hepatic artery complications (HAC) after orthotopic liver transplantation.Methods The clinical data of 180 orthotopic liver transplantation patients performed between January 2005 and September 2007 was reviewed.The incidence of HAC between primary liver carcinoma and benign diseases of liver was compared.Results Twelve (6.7％) episodes of HAC were identified.3 were hepatic artery thrombosis (HAT) and 9 were hepatic artery stenosis (HAS).The incidence of HAC in patients with primary liver carcinoma (6/39) was higher than benign disease (6/141)(P＜0.05).Conclusions The keys to management of HAC after orthotopic liver transplantation are to diagnose the complication in time and to select the proper treatment based on the type of HAC. |
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| Keywords: | Orthotopic liver transplantation Hepatic artery thrombosis Hepatic artery stenosis Primary liver carcinoma |
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