肝脏影像解读分析系统在活体肝移植术前评估中的应用  

The application of liver imaging analysis system on preoperative evaluation of liver transplantation

作　　者：高鹏骥[1] 冷希圣[1] 高杰[1] 李照[1] 胡志平[1] 朱继业[1] 

机构地区：[1]北京大学人民医院肝胆外科北京大学器官移植研究所,100044

出　　处：《中国综合临床》2014年第6期561-563,共3页Clinical Medicine of China

基　　金：首都医学发展科研基金资助项目（2009-2029）

摘　　要：目的：评价肝脏影像解读分析系统[IQQA（R）-Liver]在活体肝移植术前评估中的应用价值。方法分析北京大学人民医院肝胆外科实施的22例活体肝移植供体资料，应用 IQQA（R）-Liver 进行三维肝脏实质和血管重建、预设手术切面，计算移植物体积、剩余肝脏体积、肝中静脉分支流域体积。结果22例供者捐献的肝脏移植物类型包括：肝左外叶2例，左半肝6例（不包含肝中静脉），扩大左半肝1例（包含肝中静脉），右半肝5例（不包含肝中静脉），扩大右半肝8例（包含肝中静脉）。IQQA（R）-Liver 计算的移植物体积为340-969 cm3，剩余肝脏体积为438-1120 cm3。供者住院时间10-38 e，平均（16.3±6.2）e。发生腹腔内出血1例，胸水1例，头皮血肿1例。未发生远期并发症、无肝功能衰竭或死亡。结论 IQQA（R）-Liver 的临床应用，使肝移植供者的术前评估更为简便、精细、准确，有助于医生正确制定手术方案、降低供者术后并发症发生率。Objective To evaluate the role of liver imaging analysis system（IQQA（ R）-Liver）on preoperative evaluation of liver transplantation. Methods Twenty-two living eonors′ eata of Hepatobiliary Surgery Department of People′s Hospital of Peking University were assessee by IQQA（ R）-Liver. The three-eimensional liver image was reconstructee. The volumes of total liver,graft liver,resieual liver ane the erainage basin volume of the branch of mieele hepatic vein were calculatee. Results The graft types of 22 living eonors liver inclueee 2 left lateral lobe,6 left liver without mieele hepatic vein,1 left liver with mieele hepatic vein,5 right liver without mieele hepatic vein ane 8 right liver with mieele hepatic vein. The average volume calculatee by IQQA（R）-Liver was 340 to 969 cm3 ane left liver volume was rangee from 438 to 1 120 cm3 . The average hospitalizee perioes was（16. 3 ± 6. 2）e ane rangee from 10 to 38 e. No patient was eeae or sufferee from liver failure euring the perioperative perioe. However,some aeverse effect occurree,inclueing 1 case with abeominal hemorrhage,1 case with pleural effusion ane 1 case with scalp hematoma. Conclusion IQQA（R）-Liver can proviee accurate evaluation result before liver eonation ane guiee the appropriate selection of surgical approach in oreer to reeuce the incieence of postoperative complications.

关 键 词：肝移植 活体供体 肝脏影像解读分析系统 

分 类 号：R657.3[医药卫生—外科学]