【摘要】目的 探讨肝移植术后肝动脉血栓的防治方法,以降低其发生率。
方法 对52例(53例次)肝移植手术后发生肝动脉血栓的2例患者的临床资料进行回顾性总结。
结果 该2例患者均为乙肝肝硬变合并巨块型肝癌,术中发现受体肝动脉内膜及外膜管壁硬化,血管弹性差,内外膜间隙较大,供、受体肝动脉直径稍有差距,致血管内膜对合不好,造成吻合口扭曲、皱折等,从而导致术后肝动脉血栓形成,2例患者术后均经彩超检查确诊。
结论 对肝移植术后肝动脉血栓的形成应以预防为主,肝移植术后应常规用彩超监测肝动脉血流,一旦发现肝动脉血栓,应立即行肝动脉溶栓、取栓和重新吻合术。
Citation:
李汛,李玉民,石斌,周文策,陈昊,张磊,孟文勃,曹农,沈中阳,朱志军,郑虹. Prevention and Treatment of Hepatic Artery Thrombosis after Liver Transplantation(Report of 2 Cases ). CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2005, 12(5): 511-512. doi:
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1. |
Rela M, Muiesan P, Bhatnagar V, et al. Hepatic artery thrombosis after liver transplantation in children under 5 years of age [J]. Transplantation, 1996; 61(9)∶1355.
|
2. |
Tian MG, Tso WK, Lo CM, et al. Treatment of hepatic artery thrombosis after orthotopic liver transplantation [J]. Asian J Surg, 2004; 27(3)∶213.
|
3. |
Graziadei IW, Millonig G, Vogel W. Repeated graft loss caused by recurrent hepatic artery thombosis [J]. Liver Transpl, 2003; 9(9)∶998.
|
- 1. Rela M, Muiesan P, Bhatnagar V, et al. Hepatic artery thrombosis after liver transplantation in children under 5 years of age [J]. Transplantation, 1996; 61(9)∶1355.
- 2. Tian MG, Tso WK, Lo CM, et al. Treatment of hepatic artery thrombosis after orthotopic liver transplantation [J]. Asian J Surg, 2004; 27(3)∶213.
- 3. Graziadei IW, Millonig G, Vogel W. Repeated graft loss caused by recurrent hepatic artery thombosis [J]. Liver Transpl, 2003; 9(9)∶998.