• 四川大學(xué)華西醫(yī)院普外科(成都610041);

目的 探討同種異體原位肝移植治療晚期肝泡狀棘球蚴病的適應(yīng)證、手術(shù)操作及圍手術(shù)期處理要點(diǎn)。方法對(duì)2001年以來(lái)我院實(shí)施的5例同種異體原位肝移植治療的無(wú)法切除的晚期肝泡狀棘球蚴(AHD)病例進(jìn)行回顧性分析。 結(jié)果5例術(shù)后移植肝功能恢復(fù)良好,無(wú)AHD復(fù)發(fā)。1例于術(shù)后1年死于肺部感染。結(jié)論同種異體原位肝移植是目前治愈晚期AHD的唯一方法。采用有效的手術(shù)技術(shù)解決術(shù)中病肝切除困難,術(shù)前、術(shù)后規(guī)范使用抗AHD藥物,術(shù)后合理控制免疫抑制藥物劑量是治療成功的關(guān)鍵。

引用本文: 夏天,嚴(yán)律南,李波,盧實(shí)春,文天夫,曾勇,姚輝華. 同種異體原位肝移植治療晚期肝泡狀棘球蚴病(附5例報(bào)告). 中國(guó)普外基礎(chǔ)與臨床雜志, 2003, 10(4): 343-346. doi: 復(fù)制

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  4. 4. BressonHadni S, Vuitton DA, Miguel JP. Echinococcose alveolaire hepatique, Editions Techniques. Encycl. Med. Chir. (Paris) [J]. Hépatologie 7023A20, 1994, 9p.
  5. 5. Koch S, BressonHadni S, Miguet JP, et al. Experience of Liver Transplantation for Incurable Alveolar Echinococcosis : A 45case European collaborative report [J]. Transplantation, 2003; 76(6)∶856.
  6. 6. 嚴(yán)律南,李波,盧實(shí)春,等. 同種原位異體肝移植治療晚期肝包蟲(chóng)病 [J]. 中國(guó)普外基礎(chǔ)與臨床雜志, 2002; 9(1)∶28.
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