CAJ | 학술논문

目的探讨原位肝移植术(OLT)后动脉并发症的危险因素和诊治策略.方法回顾性分析2005年1月至2007年9月180例原位肝移植临床资料.比较肝良性疾病与原发性肝癌原位肝移植术后动脉并发症的发生率.观察动脉并发症受者的长期生存率.结果 180例中,12例(6.7％)发生动脉并发症,其中肝动脉血栓(HAT)3例,肝动脉狭窄(HAS)9例.原发性肝癌肝移植术后动脉并发症发生率(6/39)显著高于良性肝病(6/141)(P＜0.05).结论及时诊断并根据肝移植术后动脉并发症的类型选择恰当的方法是治疗原位肝移植术后动脉并发症的关键.
목적 탐토원위간이식술(OLT)후동맥병발증적위험인소화진치책략.방법 회고성분석2005년1월지2007년9월180례원위간이식림상자료.비교간량성질병여원발성간암원위간이식술후동맥병발증적발생솔.관찰동맥병발증수자적장기생존솔.결과 180례중,12례(6.7％)발생동맥병발증,기중간동맥혈전(HAT)3례,간동맥협착(HAS)9례.원발성간암간이식술후동맥병발증발생솔(6/39)현저고우량성간병(6/141)(P＜0.05).결론 급시진단병근거간이식술후동맥병발증적류형선택흡당적방법시치료원위간이식술후동맥병발증적관건.
Objective To determine the risk factors and the optimal management of hepatic artery complications (HAC) after orthotopic liver transplantation.Methods The clinical data of 180 orthotopic liver transplantation patients performed between January 2005 and September 2007 was reviewed.The incidence of HAC between primary liver carcinoma and benign diseases of liver was compared.Results Twelve (6.7％) episodes of HAC were identified.3 were hepatic artery thrombosis (HAT) and 9 were hepatic artery stenosis (HAS).The incidence of HAC in patients with primary liver carcinoma (6/39) was higher than benign disease (6/141)(P＜0.05).Conclusions The keys to management of HAC after orthotopic liver transplantation are to diagnose the complication in time and to select the proper treatment based on the type of HAC.