【摘要】目的 探討肝移植術(shù)后肝動(dòng)脈血栓的防治方法，以降低其發(fā)生率。
方法 對(duì)52例（53例次）肝移植手術(shù)后發(fā)生肝動(dòng)脈血栓的2例患者的臨床資料進(jìn)行回顧性總結(jié)。
結(jié)果 該2例患者均為乙肝肝硬變合并巨塊型肝癌，術(shù)中發(fā)現(xiàn)受體肝動(dòng)脈內(nèi)膜及外膜管壁硬化，血管彈性差，內(nèi)外膜間隙較大，供、受體肝動(dòng)脈直徑稍有差距，致血管內(nèi)膜對(duì)合不好，造成吻合口扭曲、皺折等，從而導(dǎo)致術(shù)后肝動(dòng)脈血栓形成，2例患者術(shù)后均經(jīng)彩超檢查確診。
結(jié)論 對(duì)肝移植術(shù)后肝動(dòng)脈血栓的形成應(yīng)以預(yù)防為主，肝移植術(shù)后應(yīng)常規(guī)用彩超監(jiān)測(cè)肝動(dòng)脈血流，一旦發(fā)現(xiàn)肝動(dòng)脈血栓，應(yīng)立即行肝動(dòng)脈溶栓、取栓和重新吻合術(shù)。
引用本文： 李汛,李玉民,石斌,周文策,陳昊,張磊,孟文勃,曹農(nóng),沈中陽,朱志軍,鄭虹. 肝移植術(shù)后肝動(dòng)脈血栓的防治（附2例報(bào)告）. 中國(guó)普外基礎(chǔ)與臨床雜志, 2005, 12(5): 511-512. doi: 復(fù)制
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- 1. Rela M, Muiesan P, Bhatnagar V, et al. Hepatic artery thrombosis after liver transplantation in children under 5 years of age [Ｊ]. Transplantation, 1996; 61(9)∶1355.
- 2. Tian MG, Tso WK, Lo CM, et al. Treatment of hepatic artery thrombosis after orthotopic liver transplantation [Ｊ]. Asian J Surg, 2004; 27(3)∶213.
- 3. Graziadei IW, Millonig G, Vogel W. Repeated graft loss caused by recurrent hepatic artery thombosis [Ｊ]. Liver Transpl, 2003; 9(9)∶998.