摘要
目的 报告我国首例活体小肠移植术的移植肠处理体会 .方法 为 1例 18岁男性超短肠综合征患者施行了活体部分小肠移植术 ,供肠来自患者的父亲 (44岁 ) ,切取供体回肠15 0 cm,UW液灌洗血管 ,将移植肠动、静脉分别与受体腹主动脉及下腔静脉端侧吻合 .移植肠近端与受体空肠近端行端端吻合 ,远端与受体空肠远端行侧端吻合 ,末端造口 .术后给予抗排斥 ,抗感染 ,抗凝及营养支持等治疗 .结果 术后曾出现贫血 ,单纯疱疹病毒感染和急性排斥反应 ,经积极处理得到控制 ,目前患者健康 ,已生存 8mo余 .结论 活体小肠移植时移植肠的选择、切取、血管灌洗及移植肠与消化道重建方式 。
AIM To report the experience in management of the first case of living related small bowel transplantation in China. METHODS An 18 year old boy with short gut syndrome underwent the living related small bowel transplantation, and the donor was his father. A segment of 150cm distal small bowel was resected from the donor and the graft's vasculature was infused with UW solution. The donor's ilecolic artery and vein were anastomosed to the recipient's infrarenalaorta and cava. The intestinal continuity was restored with an end to end anastomosis between the recipient's jejunum and the donor's ileum, and the distal end was as the fistulization. Treatment of immunosuppression, antibiotics, antithrombosis and nutrition support was given after transplantation. RESULTS After operation, the recipient had such complications as herpes simplex virus infection, as stinal hemorrhage and acute rejection, which were all cured with treatment. Now, he is in good health and it is already 8 months since the transplantation. CONCLUSION The selection, resection, vascular infusion and digestive duct reconstruction of the intestinal graft is important to its function restoration.
出处
《第四军医大学学报》
2000年第6期773-775,共3页
Journal of the Fourth Military Medical University
关键词
小肠移植
活体
移植肠
处理
small bowel transplantation
living related
intestinal graft
