中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (07): 547-549.

• 专题笔谈 • 上一篇    下一篇

肝移植在复杂胆道结石治疗中的应用和评价

陈规划，易述红   

  1. 中山大学附属第三医院肝脏移植中心 中山大学器官移植研究所，广东广州510630
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-07-08 发布日期:2009-07-08

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-07-08 Published:2009-07-08

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摘要：

肝切除术联合胆道内外引流以及胆道内镜技术的应用是当前治疗肝胆管结石的主要治疗手段。对于那些经历了复杂的常规外科手术治疗，已经或即将出现不可逆转的肝脏和胆道系统功能障碍或衰竭的复杂胆道结石病例，肝移植技术提供了最后治愈的有效方法。Ⅲ型和IV型肝内胆管结石是有可能接受肝移植治疗的主要类型。控制感染和改善凝血功能是肝移植术前准备的两个重要方面。术后有效的抗感染治疗和个体化免疫抑制方案是提高肝移植成功率的关键。

关键词: 肝移植, 胆道结石

Abstract:

Application and evaluation of Liver transplantation in the treatment of complex biliary tract stone CHEN Gui-hua, YI Shu-hong. Liver Transplant Centers, the Third Affiliated Hospital of Sun Yat-sen University,Guangzhou510630,China Corresponding author: CHEN Gui-hua，E-mail：chgh1955@263.net Abstract Hepatectomy combined internal and external biliary drainage and endoscopic biliary technology was the main treatmen in hepatolithiasis. For those who experienced the complexity of conventional surgical treatment, have been or will soon appear irreversible liver and biliary system dysfunction or failure in patients with complex biliary lithiasis,liver transplantation technology provides an effective way to the final cure.Type Ⅲ and type IV hepatolithiasis is likely to receive liver transplantation. Infection control and improvement of coagulation function is two important aspects inpre-liver transplantation. Effective anti-infective treatment and individualized immunosuppression after liver transplantation program is the key to improve the success rate.

Key words: liver transplantation, cholelithiasis