Abstract

目的 探讨肝移植术后胆道结石及胆泥形成的原因及诊治方法.方法回顾性分析我院3例肝移植病人术后发生胆道结石及胆泥的临床资料.结果 3例病人发生胆道结石或胆泥间隔时间为3~6个月,诊断主要通过T管造影以及ERCP或MRCP检查发现.1例采取内窥镜介入治疗,1例采取外科手术取石、胆道重建,还有1例则采取再次肝移植.2例成功取石,分别存活1年、2年,1例再次肝移植病人术后死于严重感染.结论肝移植术后发生胆道结石及胆泥主要与缺血-再灌注损伤、胆道冲洗不充分以及胆道供血不足等有关,胆道造影检查有利于及时诊断,放射介入治疗以及外科手术治疗是常用的治疗方法。

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