彩色及频谱多普勒超声在检查肝移植术后微血管的应用  

Application of Color Doppler and Pulsewave Doppler in the Examination of Microvasa After Liver Transplantation

作　　者：朱栋晓[1] 皇甫帼[1] 刘小铭[1] 赵维群[1] 顾元龙[2] 卞晋荣[2] 刘敏丰[2] 

机构地区：[1]江苏省无锡市第三人民医院超声科,214041 [2]江苏省无锡市第三人民医院消化科,214041

出　　处：《中国微循环》2003年第6期384-386,共3页Journal of Chinese Microcirculation

摘　　要：目的采用彩色及频谱多普勒超声检查肝脏移植术后的移植肝脏 ,探讨对术后早期血管并发症诊断的临床价值。方法对我院的7例肝移植、1例肝肾联合移植手术的患者术后进行二维及多普勒超声检查 ,观察移植患者肝实质和胆管声像图改变 ,并着重观察肝脏动静脉血流情况 ,必要时对术后的胸腹水的处理及肝脏活检提供必要的引导及监测。结果对8例术后的移植肝脏进行了为期三个月的检查随访 ,发现布加综合征1例 ,未发现肝动脉、门静脉血栓等其他并发症。结论彩色及频谱多普勒超声检查对肝移植术后早期的血管并发症的诊断有重要的临床意义。Objective To discuss the clinical significance for diagnosing early vascular complications after liver transplantation,Color Doppler and Pulsewave Doppler were used in the examination of liver after liver transˉplantation.Methods Seven patients after liver transplantation and one patient after combined liver and kidney transplantation were examined with two-dimensioned ultrasound and Color Doppler to observe the ultrasonographic change of liver parenchyma and biliary duct,to emphasize blood flowof hepatic artery and hepatic vein,and offer the necessary guide and monitoring for the management of pleural effusion and ascites or the hepatic biopsy.Results The examination for the eight patients lasted three months separately,except one patient complicated with Budd-chiari Syndrome,No other complications such as hepatic artery or portal vein thrombosis were found.Concluˉsions Color Doppler and Pulsewave Doppler have valuable clinical significance for diagnosing early vascular comˉplications after liver transplantation.

关 键 词：多普勒超声 肝移植 微血管 

分 类 号：R445.1[医药卫生—影像医学与核医学] R322.13[医药卫生—诊断学]