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儿科肝移植后的胆汁泄漏通过皮肤透肝胆汁排水治疗 - 一个案例系列

Michael Doppler¹, Christin Fürnstahl², Simone Hammer^1,2

¹Department of Diagnostic and Interventional Radiology, Medical Center-University of Freiburg, Faculty of Medicine, University of Freiburg, 79106 Freiburg, Germany.

Tomography (Ann Arbor, Mich.)

|October 27, 2023

概括

皮肤通过肝胆道排水 (PTBD) 有效地管理儿科肝移植 (pLT) 后的胆汁泄漏. 这种微创方法实现了100%的成功率和优秀的患者存活率,使其成为一种有价值的治疗选择.

科学领域:

肝病学肝病学是一种肝病学.
儿科手术儿科手术
干预性放射学干预性放射学

背景情况:

胆道泄漏是儿科肝移植 (pLT) 后的一个严重并发症.
移植后胆道泄漏的有效管理仍然是一个临床挑战.

研究的目的:

评估皮肤穿越肝胆道排水 (PTBD) 治疗pLT后儿童胆汁泄漏的结果.
评估是否需要额外的胆瘤排水,并分析PTBD治疗期间和之后的实验室参数变化.

主要方法:

一项回顾性单一中心研究包括所有接受PTBD治疗的儿童,因为pLT后的胆道泄漏.
分析重点是泄漏部位,胆瘤管理,治疗反应和患者/移植存活率.
炎症,胆固醇酶参数和肝酶被追溯审查.

主要成果:

十名儿童因pLT后的胆汁泄漏而接受了PTBD,大多数泄漏发生在肝脏结合器.
移植后的PTBD治疗平均在移植后的40.3天开始,平均持续109.7天.
八名患者需要额外的胆瘤排水;所有胆汁泄漏都得到了成功的治疗,没有并发症,实现了100%的患者和移植生存率.
在治疗期间观察到CRP,白细胞计数,GGT和胆红素水平的显著降低,随访期间持续降低GGT.

结论:

穿皮透肝胆道排水 (PTBD) 是一个非常成功的治疗策略,用于管理儿科肝移植 (pLT) 后的胆汁泄漏.
PTBD提供了一种安全有效的解决方案,具有出色的患者结果.

关键词:

在PTBD中,PTBD是PTBD.胆道泄漏是因为胆道泄漏.在pLTx中,您可以使用 pLTx.儿科肝移植手术儿科肝移植手术通过皮肤进行的跨肝胆道排水.

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