中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2015年
1期
30-33
,共4页
吴国生%赵青川%王为忠%施海%王勉%陈冬利%郑建勇%赵正维%李孟彬
吳國生%趙青川%王為忠%施海%王勉%陳鼕利%鄭建勇%趙正維%李孟彬
오국생%조청천%왕위충%시해%왕면%진동리%정건용%조정유%리맹빈
活体供者%小肠移植%双生,单卵%短肠综合征
活體供者%小腸移植%雙生,單卵%短腸綜閤徵
활체공자%소장이식%쌍생,단란%단장종합정
Living donor%Intestinal transplantation%Twins,monozygotic%Short bowel syndrome
目的 总结成功实施的一例同卵双生之间活体部分小肠移植的手术经验.方法 受者为45岁女性,因肠系膜上动脉栓塞导致短肠综合征;供者为其同卵双胞胎姐姐.术前经短串联重复序列检测证实供、受者为同卵双生.取供者远端回肠155 crm作为移植肠.术中及术后受者使用短期激素治疗,之后停用免疫抑制剂.结果 小肠移植手术顺利,术后供、受者均无并发症,受者12 d后出院并恢复正常饮食.随访12个月,供、受者情况良好.结论 同卵双生小肠移植是治疗短肠综合征的理想方法.
目的 總結成功實施的一例同卵雙生之間活體部分小腸移植的手術經驗.方法 受者為45歲女性,因腸繫膜上動脈栓塞導緻短腸綜閤徵;供者為其同卵雙胞胎姐姐.術前經短串聯重複序列檢測證實供、受者為同卵雙生.取供者遠耑迴腸155 crm作為移植腸.術中及術後受者使用短期激素治療,之後停用免疫抑製劑.結果 小腸移植手術順利,術後供、受者均無併髮癥,受者12 d後齣院併恢複正常飲食.隨訪12箇月,供、受者情況良好.結論 同卵雙生小腸移植是治療短腸綜閤徵的理想方法.
목적 총결성공실시적일례동란쌍생지간활체부분소장이식적수술경험.방법 수자위45세녀성,인장계막상동맥전새도치단장종합정;공자위기동란쌍포태저저.술전경단천련중복서렬검측증실공、수자위동란쌍생.취공자원단회장155 crm작위이식장.술중급술후수자사용단기격소치료,지후정용면역억제제.결과 소장이식수술순리,술후공、수자균무병발증,수자12 d후출원병회복정상음식.수방12개월,공、수자정황량호.결론 동란쌍생소장이식시치료단장종합정적이상방법.
Objective We described one case of successful living-related intestine transplant between identical twins.Method The recipient was a 45 year-old female with short gut syndrome secondary to superior mesenteric artery thrombosis.Monozygosity was established by buccal smear DNA PCR amplification using short tandem repeat.The recipient,who was transplanted with 155 cm of the donor distal ileum,had an uneventful postoperative course and was discharged on a regular diet 12 days after surgery.Result Posttransplantively,she received a brief course of steroids without maintenance immunosuppression.At 12-month follow-up,both donor and recipient were well without complications.Conclusion Living-related intestinal transplant between identical twins can be a valid therapeutic option for the management of short gut syndrome.
