肝移植术后胆系造影的临床价值(附20例报告)  

The Clinical Value of Cholangiography after Liver Transplantation (with Report of 20 Cases)

作　　者：陈绍红[1] 徐安辉[1] 张青梅[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院放射科,武汉430030

出　　处：《放射学实践》2005年第11期981-983,共3页Radiologic Practice

摘　　要：目的:探讨肝移植术后胆系造影的临床价值。方法:回顾性总结了20例肝移植患者的胆系造影表现及临床资料。并简要分析了异常影像与胆系合并症的关系。结果:5例肝内胆管系统呈痉挛、枯枝状,6例肝内胆管壁不规则,小斑片状,管腔粗细不均,2例胆管吻合口区域狭窄。1例胆管吻合口瘘。6例显示正常。结论:肝移植术后常规胆系造影检查十分重要,对了解胆道通畅情况及胆管系统合并症有很大临床应用价值。Objective： To investigate the clinical application value of cholangiography after liver transplantation. Methods： 20 cases after liver transplantation were retrospectively analyzed with cholangiography findings and clinical situations. The relationship between the abnormal images and the biliary complications was analyzed simply. Results; In 5 cases the bile ducts were spastic and looked as deadwood. In 6 cases the wall of bile ducts appeared irregular,like patches or dotted lines. The internal diameters of bile ducts were asymmetrical. In 2 cases there were stenosis of biliary stoma. In 1 case there was fistula of biliary anastomosis. In 6 cases there were no abnormal findings. Conclusion：Cholangiography could accurately display the status of bile ducts of the transplanted liver. It is very helpful to diagnose the biliary complications. After liver transplantation cholangiography should be a routine examination to furnish the reliable information for clinical postoperative treatment.

关 键 词：肝移植 胆管造影 合并症 吻合口狭窄 

分 类 号：R657.3[医药卫生—外科学] R816.5[医药卫生—临床医学]