摘要
目的 探讨肝移植中合并门静脉血栓的诊断和处理。方法 采用回顾性分析的方法分析了我院自2001年6月1日至2003年1月30日的158例肝移植病例。结果 158例肝移植病人中26例(16.5%)术中确认有门静脉血栓形成。其中9例Ⅰ级;11例Ⅱ级;5例Ⅲ级;1例Ⅳ级。对Ⅰ、Ⅱ级的门静脉血栓中3例施行了血栓切除术、16例施行取栓术、1例行门静脉左支吻合;5例Ⅲ级血栓中,远端肠系膜上静脉作为流入道,通过利用供体的髂静脉进行了搭桥术;对Ⅳ级血栓,尝试利用其他的内脏静脉进行吻合。病人术后6个月存活率:门静脉血栓组24／26,对照组114／132(P>0.05)。结论 对于肝移植合并门脉血栓的病人,准确的术前诊断、合理的术式选择在很大程度上影响病人的预后。
<abstract>jective To investigate the diagnosis and treatment of portal vein thrombosis (PVT) during liver transplantation. Methods The 158 patients who underwent liver transplantation in our hospital from June 1 of 2001 to January 30 of 2003 were retrospectively analyzed. Results PVT occurred in 26 patients of 158 cases. Nine of them are grade Ⅰ ; 11 of them are grade Ⅱ ; 5 of them are grade Ⅲ ; 1 of them are grade Ⅳ. In the patients of grade Ⅰ/Ⅱ :3 cases underwent embolectomy, 16 cases received cleaning thrombus and 1 case received anatomosis left branch of portal vein; 5 patients of received bypass using the iliac vein of donor and the inflow is the distal superior mesenteric vein; These cases of grade Ⅳ received other anastomosis of splanchna vein. The survival rate of posto-peration six months: the group of PVT is 24/26, the control group is 114/132 (P>0. 05). Conclusion Accurate diagnosis of preoperation and the method of operation will effect outcome evidently in these patients who underwent liver transplantation with PⅣ.
出处
《中华肝胆外科杂志》
CAS
CSCD
2004年第7期473-475,共3页
Chinese Journal of Hepatobiliary Surgery
