脾動脈栓塞治療親體肝移植術后脾動脈竊血所致小肝綜合征2例報道_《中國普外基礎與臨床雜志》

作者：

李傳云 , 盧實春 , 王孟龍 , 賴威 , 伏志 , 曾道炳 , 劉源 , 郭慶良 , 林棟棟 , 武聚山 , 李寧

首都醫科大學附屬北京佑安醫院肝膽外科暨肝臟移植中心（北京 100069）;

關鍵詞：

脾動脈栓塞親體肝移植脾動脈竊血小肝綜合征

視頻：

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目的探討脾動脈栓塞治療親體肝移植術后脾動脈竊血所致小肝綜合征的療效。
方法我院2007年4月至2009年9月期間共完成親體肝移植25例，其中有2例發生脾動脈竊血致小肝綜合征，均采用介入技術經皮行脾動脈栓塞治療。
結果行脾動脈栓塞術后，2例患者腹水逐漸減少，轉氨酶水平、血小板及白蛋白水平及肝功能較快恢復正常。栓塞術后1個月復查，肝功能仍基本正常。
結論脾動脈栓塞是治療肝移植術后脾動脈竊血所致小肝綜合征的有效措施。

引用本文： 李傳云,盧實春,王孟龍,賴威,伏志,曾道炳,劉源,郭慶良,林棟棟,武聚山,李寧. 脾動脈栓塞治療親體肝移植術后脾動脈竊血所致小肝綜合征2例報道. 中國普外基礎與臨床雜志, 2010, 17(5): 425-427. doi: 復制

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7.	Shimizu K, Tashiro H, Fudaba Y, et al. Splenic artery steal syndrome in living donor liver transplantation: a case report [J]. Transplant Proc, 2007; 39(10): 3519-3522.
8.	Sanyal R, Shah SN. Role of imaging in the management of splenic artery steal syndrome [J]. J Ultrasound Med, 2009; 28(4): 471-477.
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11.	嚴律南. 成人間活體肝移植的外科技術與創新 [J]. 中國普外基礎與臨床雜志, 2008; 15(3): 151-154.
12.	Trotter JF, Suhocki PV, Clavien PA. Hypersplenism and splenic artery steal syndrome following hepatic transplantation successfully treated with splenic artery embolization [J]. Hepatology, 1997; 26(4): 438.
13.	Madoff DC, Denys A, Wallace MJ, et al. Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications [J]. Radiographics, 2005; 25 Suppl 1: S191-S211.
14.	Umeda Y, Yagi T, Sadamori H, et al. Preoperative proximal splenic artery embolization: a safe and efficacious portal decompression technique that improves the outcome of live donor liver transplantation [J]. Transpl Int, 2007; 20(11): 947-955.
15.	Lima CX, Mandil A, Ulhoa AC, et al. Splenic artery steal syndrome after liver transplantation: an alternative technique of embolization [J]. Transplant Proc, 2009; 41(5): 1990-1993.

1. Aucejo F, Hashimoto K, Quintini C, et al. Splenic artery steal syndrome: Reality or myth? A case report suggesting the role of portal hyperperfusion [J]. Liver transplantation, 2007; 13(6): S116.
2. 嚴律南. 活體肝移植的現狀與展望 [J]. 中國普外基礎與臨床雜志, 2007; 14(2): 128-131.
3. Lo CM, Fan ST, Liu CL, et al. Minimum graft size for successful living donor liver transplantation [J]. Transplantation, 1999; 68(8): 1112-1116.
4. Kawasaki S, Makuuchi M, Matsunami H, et al. Living related liver transplantation in adults [J]. Ann Surg, 1998; 227(2): 269-274.
5. Kiuchi T, Kasahara M, Uryuhara K, et al. Impact of graft size mismatching on graft prognosis in liver transplantation from living donors [J]. Transplantation, 1999; 67(2): 321-327.
6. Ben-Haim M, Emre S, Fishbein TM, et al. Critical graft size in adult-to-adult living donor liver transplantation: impact of the recipient’s disease [J]. Liver Transpl, 2001; 7(11): 948-953.
7. Shimizu K, Tashiro H, Fudaba Y, et al. Splenic artery steal syndrome in living donor liver transplantation: a case report [J]. Transplant Proc, 2007; 39(10): 3519-3522.
8. Sanyal R, Shah SN. Role of imaging in the management of splenic artery steal syndrome [J]. J Ultrasound Med, 2009; 28(4): 471-477.
9. Uflacker R, Selby JB, Chavin K, et al. Transcatheter splenic artery occlusion for treatment of splenic artery steal syndrome after orthotopic liver transplantation [J]. Cardiovasc Intervent Radiol, 2002; 25(4): 300-306.
10. Bárcena R, Moreno A, Foruny JR, et al. Improved graft function in liver-transplanted patients after partial splenic embolization: reversal of splenic artery steal syndrome? [J]. Clin Transplant, 2006; 20(4): 517-523.
11. 嚴律南. 成人間活體肝移植的外科技術與創新 [J]. 中國普外基礎與臨床雜志, 2008; 15(3): 151-154.
12. Trotter JF, Suhocki PV, Clavien PA. Hypersplenism and splenic artery steal syndrome following hepatic transplantation successfully treated with splenic artery embolization [J]. Hepatology, 1997; 26(4): 438.
13. Madoff DC, Denys A, Wallace MJ, et al. Splenic arterial interventions: anatomy, indications, technical considerations, and potential complications [J]. Radiographics, 2005; 25 Suppl 1: S191-S211.
14. Umeda Y, Yagi T, Sadamori H, et al. Preoperative proximal splenic artery embolization: a safe and efficacious portal decompression technique that improves the outcome of live donor liver transplantation [J]. Transpl Int, 2007; 20(11): 947-955.
15. Lima CX, Mandil A, Ulhoa AC, et al. Splenic artery steal syndrome after liver transplantation: an alternative technique of embolization [J]. Transplant Proc, 2009; 41(5): 1990-1993.

《中國普外基礎與臨床雜志》

脾動脈栓塞治療親體肝移植術后脾動脈竊血所致小肝綜合征2例報道

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《中國普外基礎與臨床雜志》

脾動脈栓塞治療親體肝移植術后脾動脈竊血所致小肝綜合征2例報道

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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