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肝移植术后胆总管结石形成的危险因素。

Risk factors of choledocholithiasis formation after liver transplantation.

机构信息

Key Laboratory of Combined Multi-organ Transplantation, Ministry of Public Health, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

出版信息

Hepatobiliary Pancreat Dis Int. 2013 Apr;12(2):215-7. doi: 10.1016/s1499-3872(13)60034-x.

Abstract

Systematic study of risk factors for biliary stone post-liver transplantation is rarely performed. To investigate the risk factor of choledocholithiasis formation after liver transplantation, we conducted a case-control study. Fourteen patients were selected into a study group. The stones of the bile duct of the patients were confirmed and treated successfully by endoscopic retrograde cholangiopancreatography. For univariate analysis, we selected carefully some potential risk factors such as cold ischemia time, warm ischemia time, and biliary stricture. The results revealed that cold ischemia time and biliary stenosis were significant predictors. But multivariate analysis revealed that only biliary stenosis was a significant risk factor. In conclusion, biliary stenosis is a risk factor of bile duct stones formation after liver transplantation. Endoscopic retrograde cholangiopancreatography is effective and safe in the diagnosis or treatment of bile duct stones after liver transplantation.

摘要

系统研究肝移植术后胆道结石的危险因素很少进行。为了探讨肝移植术后胆石形成的危险因素,我们进行了一项病例对照研究。选择了 14 名患者进入研究组。通过内镜逆行胰胆管造影术成功地证实并治疗了患者的胆管结石。在单变量分析中,我们仔细选择了一些潜在的危险因素,如冷缺血时间、热缺血时间和胆道狭窄。结果表明,冷缺血时间和胆道狭窄是显著的预测因素。但多变量分析显示,只有胆道狭窄是一个显著的危险因素。总之,胆道狭窄是肝移植术后胆管结石形成的一个危险因素。内镜逆行胰胆管造影术在肝移植术后胆管结石的诊断和治疗中是有效和安全的。

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