中国医科大学学报

中国医科大学学报

中国医科大学学报 ›› 2016, Vol. 45 ›› Issue (4): 352–355.doi: 10.12007/j.issn.0258-4646.2016.04.016

• 论著 • 上一篇    下一篇

合并供肝动脉变异肝移植肝动脉重建 42 例临床分析

虞桦,张佳林,张城硕,王凤山,吴刚,李桂臣,刘树荣,刘永峰   

  1. 中国医科大学附属第一医院肝胆外科暨器官移植科,沈阳 110001
  • 收稿日期:2015-06-08 出版日期:2016-04-28 发布日期:2016-04-05
  • 通讯作者: 张佳林 E-mail:jlz2000@126.com
  • 作者简介:虞桦(1989 -),男,硕士研究生.

Arterial Reconstruction in Liver Transplantation with Abnormal Donor Hepatic Artery:Clinical Analysis of 42 Cases

YU Hua,ZHANG Jia-lin,ZHANG Cheng-shuo,WANG Feng-shan,WU Gang,LI Gui-chen,LIU Shu-rong,LIU Yong-feng   

  1. Department of Hepatobiliary Surgery & Organ Transplantation,The First Hospital,China Medical University,Shenyang 110001,China
  • Received:2015-06-08 Online:2016-04-28 Published:2016-04-05

摘要: 目的 探讨供肝动脉变异对肝移植术后动脉及胆道并发症的影响,总结肝移植肝动脉重建方式。方法 查阅我院 2005年 5 月至 2015 年 4 月实施的肝移植手术病例 210 例,其中,合并供肝动脉变异(动脉变异组)42 例,未合并供肝动脉变异(非变异组)168 例。对病例进行回顾性分析。结果 210 例肝移植中,供肝动脉变异 42 例,变异率 20.0%。动脉变异组肝动脉重建后血流均值(174.7±95.1)mL/min,非变异组血流均值(190.9±101.6)mL/min,2 组无统计学差异(P = 0.519)。共有 12 例(5.71%)患者发生动脉并发症,其中动脉变异组 4 例(4/42),非变异组 8 例(8/168),2 者间无统计学差异(χ2=0.72,P > 0.05)。共有 25 例(11.9%)发 生 了 胆 道 并 发 症 ,其 中 动 脉 变 异 组 5 例(5/42),非 变 异 组 20 例(20/167),两 组 无 统 计 学 差 异(χ2=0.05 ,P >0.05)。 结论 供肝动脉变异重建不会增加肝动脉及胆道并发症的发生。

关键词: 肝移植, 肝动脉变异, 肝动脉重建, 动脉并发症, 胆道并发症

Abstract: Objective To explore the influence of abnormal donor hepatic artery on hepatic artery and biliary complications after liver transplantation,and summarize the hepatic artery reconstruction procedures during transplantation. Methods The clinical data of 210 cases of liver transplantation conducted in our hospital from May 2005 to April 2015 were retrospectively searched for the study,including 42 with abnormal donor hepatic artery. Results Among the 210 liver transplantation,42 cases exhibited abnormal donor hepatic artery,and the aberration rate was 20.0%. Mean volume of blood flow of abnormal group and normal group was 4.7±95.1 mL/min and 190.9±101.6 mL/min,respectively. There was no statistic difference(P = 0.519). Twelve cases had arterial complications,the incidence rate was 5.71%,and there was no statistic difference between each group (χ2=0.72,P > 0.05). Twenty five cases got biliary complications,the incidence rate was 11.9%,and there was no statistic differences between each group(χ 2=0.05,P > 0.05). Conclusion There was no statistic difference of mean volume of blood flow after arterial reconstruction between two groups. Liver transplantation with abnormal arterial reconstruction will not increase the incidence rate of arterial and biliary complications.

Key words: liver transplantation, abnormal hepatic artery, arterial reconstruction, arterial complication, biliary complication

中图分类号: 

  • R167
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[5] 黄德荣, 吴忠均, 朱宇. 肝动脉重建在小鼠原位肝移植中的作用研究[J]. 中国医科大学学报, 2009, 38(12): 881-.
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