实用器官移植电子杂志 ›› 2014, Vol. 2 ›› Issue (1): 41-43.

• 论著 • 上一篇    下一篇

经皮经肝血管成形术治疗肝移植术后门静脉狭窄的护理

赵文   

  • 出版日期:2014-01-20 发布日期:2021-04-28

Nursing of the perioperative care of percutaneous transhepatic stent angioplasty for portal vein stenosisfollowing liver transplant

  • Online:2014-01-20 Published:2021-04-28

摘要:

目的评估经皮经肝血管内支架治疗肝移植术后门静脉狭窄的围手术期护理效果。方法回 顾性分析9例肝移植术后发生门静脉狭窄患者的资料,所有患者均采用经皮经肝血管成形术治疗,对患者 临床资料、影像随访资料、介入治疗前、后护理进行总结。结果 介入治疗的技术成功率为100%。共置 入自膨式支架9枚,1例随访期间因门静脉主干内癌栓形成再次置入覆膜支架1枚。护理干预为围手术期 临床护理提供了理论依据,有效减少术后并发症的发生,提高了手术成功率。结论 肝移植术后门静脉狭 窄的内支架治疗是一种安全、有效的治疗方法。围手术期护理是手术成功的重要保证。

Abstract:

Otyective To evaluate the perioperative care of percutaneous transhepatic stent angioplasty for portal vein stenosis following liver transplant. Methods Retrospective analysis of 9 patients who developed portal vein stenosis following liver transplant was done. Percutaneous trans-hepatic angioplasty of the portal vein was performed in all patients. The clinical data, imaging :follow-up data and perioperative care were summarized. Results In all patients, the percutaneous transhepatic angioplasty were successfully. It was placed in self-expanding metallic stents 9 pieces, and 1 piece of membranous stent was placed in because of portal vein tumor thrombus again. Perioperative nursing provide a theoretical basis for clinical care, effectively reduce the incidence of postoperative complications and improve the success rate of surgery. Conclusions Percutaneous transhepatic stent angioplasty is an effective and safe method for treatment of portal vein stenosis following liver transplant. Perioperative nursing is an important guarantee for successful operation.