彩色多普勒超声在21例活体供肝肝移植术后肝动脉并发症中的诊断价值  

The Value of Color Doppler Ultrasound in Diagnosing Hepatic Artery Complication after Living Donor Liver Transplantation:21 Cases Report

作　　者：罗燕[1] 张梅[1] 周琛云[1] 卢强[1] 蔡迪明[1] 

机构地区：[1]四川大学华西医院超声科,四川成都610041

出　　处：《华西医学》2006年第4期710-711,共2页West China Medical Journal

摘　　要：目的:探讨彩色多普勒超声在活体肝移植术后肝动脉并发症中的诊断价值。方法:回顾分析和总结了21例活体供肝移植术后肝动脉并发症的发生情况及彩色多普勒超声检查结果。结果:超声诊断肝动脉栓塞2例并分别被手术及血管造影证实,误诊肝动脉栓塞1例,被尸体解剖证实,无漏诊病例。误诊肝动狭窄1例。结论:彩色多普勒超声能够早期发现肝动脉栓塞并评价治疗效果,但需注意排出肝动脉栓塞及肝动脉狭窄的假阳性。Objective： To evaluate the value of color Doppler ultrasound （CDUS） in diagnosis hepatic artery complication after living donor liver transplantation （LDLT）. Methods： The ultrasonic data of hepatic artery in 21 cases after LDLT were analyzed retrospectively. Result. Two cases hepatic artery thrombosis （HAT） were diagnosed by CDUS and confirmed by operation or angiography. One case HAT was misdiagnosed and no case HAT was missed. One case hepatic artery stenosis （HAS） was misdiagnosed. Conclusion： CDUS was important and valuable for screening and diagnosing HAT and evaluate the effect of treatment, but the pseudo- false cases for HAT and HAS should be excluded carefully.

关 键 词：活体供肝肝移植 肝动脉栓塞 肝动脉狭窄 彩色多普勒超声 

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]