超声对引起原位肝移植术后黄疸相关因素的分析  

Ultrasonographic Detection of Related Factors Causing Postoperative Jaundice After Liver Transplantation

作　　者：刘健[1] 黄道中[1] 周元媛[1] 邓又斌[1] 张青萍[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院超声科,武汉市430030

出　　处：《中国超声医学杂志》2006年第7期529-531,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的探讨超声对于提示引起原位肝移植术后黄疸相关因素的价值。方法28例实施肝移植术后临床拟诊黄疸的患者,以二维超声检查移植肝内外胆管及肝周情况,以彩色多普勒超声(CDI)评估移植肝动、静脉血流情况,并结合临床资料、肝穿刺活检病理诊断结果和内镜逆行胰胆管造影(ERCP)综合分析。结果22例患者术后出现胆道并发症,其中5例CDI提示有肝动脉并发症,超声检出胆漏者4例,胆道梗阻者18例;其余6例肝穿刺活检证实有排斥反应。结论多普勒超声显像可以较好地提示引起原位肝移植术后黄疸的相关因素,有利于临床医师作出正确的病情判断及确定相应的治疗方案。Objective To investigate the value of ultrasonography in indicating related factors causing postoperative jaundice after orthotopic liver thansplantation. Methods The clinical and ultrasonic data of 28 patients with postoperative jaundice after liver transplantation were retrospectively reviewed. Biliary tract and surroundings of the transplanted liver were observed with B mode ultrasound and the blood flow in the hepatic artery was assessed via CDI. The results of ultrasonography were compared with ERCP and ultrasound-guided biopsy. Results Among 22 patients with biliary tract complication, hepatic artery complication were detected by CDI in 5 casees. Biliary leaks found in 5 ; biliary tract obstructions in 18 cases and 6 liver allograft rejection confirmed by ultrasound guided biopsy. Conclusions Color Doppler ultrasonography is valuable for indicating relative factors causing postoperative jaundice after liver transplantation. It is profitable to judge the disease condition and to provide informations for treatmat plan.

关 键 词：超声 肝移植 术后黄疸 

分 类 号：R445.1[医药卫生—影像医学与核医学] R657.3[医药卫生—诊断学]