肝包虫微波消融术后胆管支气管瘘1例报告

周留馨; 郭雅; 袁佳琪; 任利; 王海久; 樊海宁; 王志鑫

doi:10.3969/j.issn.1001-5256.2021.07.040

肝包虫微波消融术后胆管支气管瘘1例报告

DOI: 10.3969/j.issn.1001-5256.2021.07.040

周留馨^a,
郭雅^b,
袁佳琪^a,
任利^a,
王海久^a,
樊海宁^a, ,,
王志鑫^a, ,

a.
青海大学附属医院肝胆胰外科, 西宁 810001
b.
青海大学附属医院影像中心, 西宁 810001

利益冲突声明：所有作者均声明不存在利益冲突。

作者贡献声明：周留馨负责资料收集、整理、分析，撰写论文; 郭雅、袁佳琪、任利、王海久负责收集整理患者资料; 樊海宁、王志鑫负责拟定写作思路，指导撰写文章并最后定稿。

详细信息

通信作者:
樊海宁，fanhaining126@163.com

王志鑫，zhixin_wang001@sina.com

中图分类号: R532.32
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- 被引次数: 0
出版历程
- 收稿日期: 2020-11-17
- 录用日期: 2021-01-23
- 出版日期: 2021-07-20

Bronchobiliary fistula after microwave ablation of hepatic hydatid disease: A case report

Liuxin ZHOU^a,
Ya GUO^b,
Jiaqi YUAN^a,
Li REN^a,
Haijiu WANG^a,
Haining FAN^{a
, ,},
Zhixin WANG^{a
, ,}

a.
Department of Hepatopancreatobiliary Surgery, The Affiliated Hospital of Qinghai University, Xining 810001, China
b.
Imaging Center, The Affiliated Hospital of Qinghai University, Xining 810001, China

摘要

- 棘球蚴病, 肝 /
- 消融技术 /
- 支气管瘘
- Echinococcosis, Hepatic /
- Ablation Techniques /
- Bronchial Fistula

HTML全文

图 1 第1次入院肝脏病损切除术前后对比

注：a，2012年首诊行三期动态增强检查，门静脉期显示未见S8段病灶; b，2015年术前行三期动态增强检查，门静脉期显示肝左叶及S8段病灶未见强化，肝左叶病灶内见钙化灶; c，术后10 d复查，肝左叶呈切除术后改变，术区积液; 肝S8段病灶显示欠清; d，2017年行微波消融术前，肝S8段病灶增强后呈环形强化，其内未见强化。

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图 2 2017年2月入院后行院微波消融前影像学检查

注：a，MRI检查示肝S8段病灶多发囊状长T2信号影; b，病灶边缘DWI呈高信号; c，肝S8段病灶增强后动脉晚期边缘轻度强化; d，MRCP示肝内胆管扩张。

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图 3 微波消融术后复查

注：a，微波消融术后行CT检查，示肝S8段处积气积液，并置管，肝周少量积气积液; b，右肺下叶可见实变伴胸腔积液; c, 1周后复查CT，示右肺感染加重并右侧胸腔包裹性积液形成。

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图 4 患者PTCD术后随访

注：a，2017年12月18日入院PTCD后行腹部平扫CT检查，示胆总管及肝内胆管扩张，置管影处吻合口炎性反应性水肿并轻度狭窄; b，2020年10月20日行腹部CT检查未见异常。

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参考文献(11)

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