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中华移植杂志(电子版) ›› 2025, Vol. 19 ›› Issue (06) : 475 -481. doi: 10.3877/cma.j.issn.1674-3903.2025.06.016

综述

肝移植术后胆道并发症诊疗进展
刘晓艳1, 杨诏旭2,()   
  1. 1710068 西安,西安医学院研究生处
    2710032 西安,空军军医大学第一附属医院肝胆外科
  • 收稿日期:2025-09-09 出版日期:2025-12-25
  • 通信作者: 杨诏旭
  • 基金资助:
    西京医院医务人员培养临床研究专项(XJZT24LY04); 国家自然科学基金项目(82470692)

Diagnosis and treatment of biliary complications after liver transplantation

Xiaoyan Liu1, Zhaoxu Yang2,()   

  1. 1Xi'an Medical University, Xi'an 710068, China
    2Department of Hepatobiliary Surgery, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China
  • Received:2025-09-09 Published:2025-12-25
  • Corresponding author: Zhaoxu Yang
引用本文:

刘晓艳, 杨诏旭. 肝移植术后胆道并发症诊疗进展[J/OL]. 中华移植杂志(电子版), 2025, 19(06): 475-481.

Xiaoyan Liu, Zhaoxu Yang. Diagnosis and treatment of biliary complications after liver transplantation[J/OL]. Chinese Journal of Transplantation(Electronic Edition), 2025, 19(06): 475-481.

肝移植是治疗终末期肝病唯一有效的方式,胆道并发症是肝移植术后常见并发症。本文综述近年来胆道并发症的相关研究进展,梳理肝移植术后胆道并发症的危险因素、分类、临床表现、诊断和治疗,旨在为解决胆道并发症相关临床问题提供借鉴,以进一步提高肝移植受者术后生活质量。

Liver transplantation remains the sole definitive therapy for end-stage liver disease, and biliary complications are among common postoperative issues following transplantation. This review summarizes relevant advances in biliary complications over recent years, and delineates the risk factors, classification, clinical presentation, diagnostic strategies and therapeutic approaches in biliary complications after liver transplantation. The aim is to provide valuable insights into addressing clinical challenges associated with biliary complications, ultimately enhancing the quality of life for liver transplant recipients.

表1 肝移植术后胆道并发症临床表现及其鉴别要点
图1 肝移植术后可疑胆道并发症诊断流程图注:MRCP.磁共振胰胆管成像;ERCP.内镜逆行胰胆管造影;PTC.经皮肝穿刺胆管造影
表2 空军军医大学第一附属医院8例腹腔镜下处理胆道并发症的肝移植受者临床资料
图2 肝移植术后胆道并发症治疗策略选择逻辑框架图注:ERCP.内镜逆行胰胆管造影;PTCD.经皮经肝胆管引流术
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