【摘 要】
：
目的 探讨母子亲体小肠移植的方法及其对短肠综合征所致小肠衰竭的疗效.方法 为1名15岁短肠综合征(仅残留小肠8cm)致小肠衰竭的男患者行小肠移植术.供体为患者母亲.取供体带
【机 构】
：
中山大学附属第一医院,器官移植中心,广东,广州,510080
论文部分内容阅读
目的 探讨母子亲体小肠移植的方法及其对短肠综合征所致小肠衰竭的疗效.方法 为1名15岁短肠综合征(仅残留小肠8cm)致小肠衰竭的男患者行小肠移植术.供体为患者母亲.取供体带血管蒂回肠中下段1.2m移植于受体腹腔,两端分别造瘘及作人工肛.二期手术于6个月后施行,将受体残余肠中部横断,上下端分别与供肠近、远段行端侧吻合.结果 供、受体手术顺利.受体一期手术后曾发生感染及排斥,经治疗后痊愈.二次术后随访8个月,受体小肠功能逐渐恢复,患者体重明显增加,一般情况好,进食半流质,生活能自理.结论 亲体小肠移植是治疗短肠综合征肠衰竭的有效方法.排斥和感染是威胁小肠移植安全的主要因素.
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