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中华普通外科学文献(电子版)

中华普通外科学文献(电子版) ›› 2018, Vol. 12 ›› Issue (02) : 133 -135. doi: 10.3877/cma.j.issn.1674-0793.2018.02.016

所属专题： 文献；

综述

肝移植术后胆道梗阻的治疗进展
罗长江1, 曹宏泰2, 李龙1, 焦作义2,†()   
  1. 1. 730030　兰州大学第二医院普外11科
    2. 730030　兰州大学第二医院普外1科
  • 收稿日期:2017-10-09 出版日期:2018-04-01
  • 通信作者: 焦作义
  • 基金资助:
    甘肃省、市、自治区科技项目(GZK-2016-33)

Progress in the treatment of biliary obstruction after liver transplantation

Changjiang Luo1, Hongtai Cao2, Long Li1, Zuoyi Jiao2,†()   

  1. 1. The Eleventh Department of General Surgery, the Second Hospital Affiliated to Lanzhou University, Lanzhou 730030, China
    2. the First Department of General Surgery, the Second Hospital Affiliated to Lanzhou University, Lanzhou 730030, China
  • Received:2017-10-09 Published:2018-04-01
  • Corresponding author: Zuoyi Jiao
  • About author:
    Corresponding author: Jiao Zuoyi, Email:
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罗长江, 曹宏泰, 李龙, 焦作义. 肝移植术后胆道梗阻的治疗进展[J]. 中华普通外科学文献(电子版), 2018, 12(02): 133-135.

Changjiang Luo, Hongtai Cao, Long Li, Zuoyi Jiao. Progress in the treatment of biliary obstruction after liver transplantation[J]. Chinese Archives of General Surgery(Electronic Edition), 2018, 12(02): 133-135.

胆道梗阻是肝移植术后较为棘手的胆道并发症之一，发生率及病死率高，因此，预防和及时处理肝移植术后胆道梗阻对于患者长期生存至关重要。磁共振胆管造影成像（MRCP）作为一个可靠的无创性检测胆道并发症的工具，已经被广泛使用。内镜下逆行胰胆管造影（ERCP）是目前非手术治疗肝移植术后胆道梗阻的首选方式，内镜治疗和经皮肝穿刺胆管造影（PTC）治疗无效或梗阻症状较重者直接行手术治疗或再次肝移植。

关键词: 胆汁淤积, 肝移植, 胰胆管造影术，磁共振, 胰胆管造影术，内窥镜逆行

Biliary obstruction is one of the most important biliary complications after liver transplantation, with high incidence and high mortality. Prevention and timely treatment is very important for long-term survival of patients. Magnetic resonance cholangiography (MRCP), as a reliable and non-invasive tool for detecting biliary complications, has been widely accepted. Endoscopic retrograde cholangiopancreatography (ERCP) is the first choice for non-operative biliary obstruction after liver transplantation. The patients with invalid endoscopic treatment or severe obstruction symptom should have surgical therapy or liver re-transplantation.

Key words: Cholestasis, Liver transplantation, Cholangiopancreatography, magnetic resonance, Cholangiopancreatography, endoscopic retrograde
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