摘要
目的 根据 3例肝移植的经验 ,总结努力提高肝移植病人长期生存率的体会。方法 3例病人病因分别为遗传性毛细血管增生症、酒精性肝硬化和原发性胆汁性肝硬化 ,术式均为同种异体背驮式原位肝移植治疗。例 1、2术后发生了胆道梗阻并发症 ,均经再次手术将胆管端 端吻合改为胆肠Roux en Y吻合后痊愈。结果 例 1、2、3分别已存活 40个月、2 0个月、10个月 ,生活质量良好。结论 提高肝移植病人的长期生存率应是目前开展肝移植工作的主要目标 ,要从保证供肝质量、把握手术环节、提高术后并发症处理水平等多方面着手 。
Objectives To discuss the experience on prolonging the survival time of liver transplant recipients.Methods Three patients with severe hepatic function failure, diagnosed as inherited capillary hyperplasia,alcoholic cirrhosis,and primary biliary cirrhosis respectively, underwent piggyback transplantation.The first and second patients developed postoperative complications of biliary obstruction. However,both of them were thereafter surgically cured with reversion of choledochocholedochostomy to choledochojejunostomy.Result The first,second and third patients respectively enjoyed 40,20,and 10 months of postoperative survival time with excellent life quality.Conclusion At present,the major efforts in liver transplantation should be directed at the prolonging of survival time of the recipient. Therefore emphysis should be laid on harvesting of the donor organ, careful implimenting of the operation procedures, and treating of postoperative complications.
出处
《江苏医药》
CAS
CSCD
2000年第7期504-506,共3页
Jiangsu Medical Journal
关键词
肝移植
生存率
术后并发症
liver transplantation Biliary duct Complication Artificial liver Long time survival Life quality
