器官移植
器官移植
기관이식
OGRAN TRANSPLANTATION
2012年
1期
20-23
,共4页
张海斌%司马辉%付雍%杨宁%杨广顺
張海斌%司馬輝%付雍%楊寧%楊廣順
장해빈%사마휘%부옹%양저%양엄순
常染色体显性多囊肝%肝切除%开窗术%肝移植
常染色體顯性多囊肝%肝切除%開窗術%肝移植
상염색체현성다낭간%간절제%개창술%간이식
Autosomal dominant polycyst liver disease%Partial hepatectomy%Fenestration%Liver transplantation
目的 探讨肝移植治疗常染色体显性多囊肝(autosomal dominant polycystic liver disease,APLD)重症病例的疗效.方法 1例严重的APLD患者(只有右叶边缘2个肝段仍有肝组织),经皮穿刺乙醇硬化治疗效果不佳,予肝部分切除并开窗术,但出现严重的术后并发症.首次术后8个月患者接受了原位肝移植.结果 肝移植术后随访26个月,患者恢复良好.结论 对于肝部分切除并开窗术治疗无效的严重APLD患者,原位肝移植是有效的治疗方法.
目的 探討肝移植治療常染色體顯性多囊肝(autosomal dominant polycystic liver disease,APLD)重癥病例的療效.方法 1例嚴重的APLD患者(隻有右葉邊緣2箇肝段仍有肝組織),經皮穿刺乙醇硬化治療效果不佳,予肝部分切除併開窗術,但齣現嚴重的術後併髮癥.首次術後8箇月患者接受瞭原位肝移植.結果 肝移植術後隨訪26箇月,患者恢複良好.結論 對于肝部分切除併開窗術治療無效的嚴重APLD患者,原位肝移植是有效的治療方法.
목적 탐토간이식치료상염색체현성다낭간(autosomal dominant polycystic liver disease,APLD)중증병례적료효.방법 1례엄중적APLD환자(지유우협변연2개간단잉유간조직),경피천자을순경화치료효과불가,여간부분절제병개창술,단출현엄중적술후병발증.수차술후8개월환자접수료원위간이식.결과 간이식술후수방26개월,환자회복량호.결론 대우간부분절제병개창술치료무효적엄중APLD환자,원위간이식시유효적치료방법.
Objective To evaluate the efficacy of liver transplantation for severe autosomal dominant polycystic liver disease (APLD).Methods A patient with severe APLD (only two liver segments left in the periphery of the right lobe)was treated by percutaneous aspiration and ethanol sclerotheraphy but in vain.She was then treated by partial hepatectomy and fenestration, but developed severe postoperative complications.Orthotopic liver transplantation (OLT) had to be performed 8 months after the first operation.Results A 26-month follow-up showed that the patient recovered well.Conclusions OLT is an effective method to cure severe APLD patient,who treated by partial hepatectomy and fenestration but in vain.
