CT导引下移植肝脏穿刺活检方法及病理改变  

CT-guided percutaneous biopsy for transplanted liver

作　　者：高斌[1] 贺克武[1] 张秀珊[1] 文刚[1] 巢惠民[1] 黄永翠[1] 

机构地区：[1]合肥市第一人民医院影像中心CT室,230061

出　　处：《介入放射学杂志》2007年第12期855-857,共3页Journal of Interventional Radiology

摘　　要：目的探讨CT导引下移植肝脏穿刺活检技术及其临床意义。方法25例次移植肝脏在CT导引下行穿刺活检,用HE染色法显示其病理形态学改变。结果25例次肝脏穿刺成功率为100%,其中诊断为急性排斥9例次,保存性灌注再损伤6例次,胆道并发症4例次,药物性肝脏损伤4例次,慢性排斥1例,急性肝坏死1例。结论CT导引下肝脏穿刺组织学检查是临床削断移植肝再损伤的重要方法,对鉴别引起肝脏损害的原因有很大的应用价值。Objective To study the technique and clinical significance of percutaneous biopsy of transplanted liver guided by CT. Methods 19 transplanted liver were undergone 25 times of percutaneous biopsy and the pathomorphologic changes were demonstrated by HE staining. Results The successful rate of the percutaneous biopsy was 100% for all the 25 times of this procedure, including acute rejection on 9 episodes, preservation perfusion retrauma in 6, bile duct strictures in 4, drug-induced injury in 4, chronic rejection in 1 and acute hepatic necrosis in 1. Conclusions CT-guided percutaneous biopsy is an important method for diagnosing transplanted liver injury and providing great value for distinguishment of the causes for transplanted liver injury.

关 键 词：肝移植 活检 CT导引 

分 类 号：R657.3[医药卫生—外科学]