内脏反位供体与受体的肝移植手术

《内脏反位供体与受体的肝移植手术》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。

1、授予单位代码10089学号或申请号20153401中国图书分类号R575HebeiMedicalUniversity硕士学位论文专业学位内脏反位供体与受体的肝移植手术研究生：郝庆春导师：窦剑教授专业：外科学二级学院：河北医科大学第三医院2018年3月目录中文摘要·····································································································1英文摘要······················································

2、···············································2综述内脏反位供体与受体的肝移植手术···············································3致谢·············································································································21个人简历·····························································

3、········································22中文摘要内脏反位供体与受体的肝移植手术摘要内脏反位是一种罕见的先天性畸形，以胸腹器官完全反转为特征。由于完全反转的解剖结构，为这样的患者或使用反位的肝脏作为供肝进行肝脏移植手术存在较高的技术难度，有着高度的挑战性。近些年报道了一些内脏反位人群作为供体或者受体的肝移植病例，分别在移植肝的摆放位置和方向、脉管系统的吻合方式等方面做出不同的尝试，取得了一些经验和教训。本篇文章分别从供体反位肝移植手术、受体反位肝移植手术以及供-受体均为内脏反位肝移植手术三个方面总结了不同移植手术的特点，为今后的临床工

4、作提供一定的借鉴。关键词：肝移植,内脏反位,血管吻合,Roux-en-Y吻合,下腔静脉1英文摘要LiverTransplantationofDonorsandRecipientswithSitusInversusABSTRACTSitusinversusisararecongenitalmalformationcharacterizedbycompletereversalofthethoracicandabdominalorgans.Thereisasignificanttechnicaldifficultyinthelivertransplantationofsuchpat

5、ientsoruseoftheanti-positionliverasadonorliverduetothecompletelyinvertedanatomy,whichishighlychallenging.Somecasesaboutlivertransplantationinwhichsitusinversuswereusedasdonorsorrecipientshavebeenreportedinrecentyears.Differentattemptshavebeenmadeintheplacementanddirectionoftransplantedliver

6、sandtheanastomosisofvasculature,gainingmanyexperience.Thisarticlesummarizedthecharacteristicsofdonor-negativelivertransplantation,recipient-negativelivertransplantation,andlivertransplantationfromsitusinversustositusinversus,providingclinicalworkforacertainreference.Keywords:Transplantation

7、,Situsinversus,Vascularanastomosis,Roux-en-Ycholedochojejunostomy,Inferiorvenacava2综述内脏反位供体与受体的肝移植手术内脏反位(situsinversusviscerum，SIV)是指心脏、肝脏、脾脏等的位置与正常人是相反的，即心脏偏右边，肝脏大部分位于左上腹，脾脏位于右上腹。这类患者的心脏、大血管、肝脏等胸腹腔脏器好像正常脏器的镜中像，故又被称为“镜像人”[1]。在医学界，MRI、CT、B超等影像学检查得到广泛应用，越来