彩色多普勒超声在肝移植术后并发症诊断及介入治疗中的应用  

Application of Color Doppler Ultrasound in the Diagnosis and Interventional Treatment of Complications after Orthotopic Liver Transplantation

作　　者：李锐[1] 贾树蓉[1] 杨美玉[1] 郭燕丽[1] 张萍[1] 华兴[1] 

机构地区：[1]第三军医大学西南医院超声科,重庆市400038

出　　处：《中国超声医学杂志》2002年第7期505-508,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :探讨彩色多普勒超声在肝移植术后并发症诊断和介入治疗中的价值。方法 :总结分析 4 3例原位肝移植患者术后并发症超声诊断和介入治疗结果。结果 :超声正确诊断右侧胸腔积液 4 1例、腹水 17例、腹腔出血4例、肝门部脓肿、肝动脉血栓、门静脉血栓、肝静脉血栓、胆总管狭窄及肝癌复发各 1例。成功进行超声引导介入治疗 5例及肝活检 2 1例。误诊肝动脉血栓形成 (假阳性 ) 1例。结论 :彩超在肝移植术后并发症诊断和介入治疗中具有重要的实用价值 。Objective:To evaluate the application of color Doppler ultrasound in the diagnosis and interventional treatment of complications after orthotopic liver transplantation.Methods:The results of ultrasonic diagnosis and interventional trentment of complications in 43 patients with orthotopic liver transplantation were analysed.Results:Forty one cases of fluid collection in right thoracic cavity, 17 cases of ascites and 4 cases of hemorrhage in abdominal cavity were detected by ultrasonography. Abscess in porta of liver, hepatic artery thrombosis, hepatic vein thrombosis, portal vein thrombosis, common bile duct stricture, recurrence of hepatocellular carcinoma were correctly diagnosed by color Doppler ultrasoand in 6 respective patients. Five cases of interventional treatment and 21 cases of liver biopsy were performed successfully under the guidance of color Doppler ultrasoand. One case of false positive diagnosis of hepatic artery thrombosis occurred.Conclusions:Color Doppler ultrasound is of practical importance in the diagnosis and interventional treatment of complications after orthotopic liver transplantation, but false positive diagnosis of hepatic artery thrombosis requires further study and improvement.

关 键 词：彩色多普勒超声 肝移植 手术后并发症 诊断 介入治疗 

分 类 号：R815[医药卫生—放射医学]