肝移植术前术后彩超监测的应用价值

Applicability of color Doppler ultrasound in patients before and after liver transplantion

目的探讨彩色多普勒超声(CDFI)对肝移植术前术后的应用价值。方法对39例肝移植患者分别于术前术后多次进行彩色多普勒超声检查,并检查21例健康人肝的血流动力学改变。结果术前彩色多普勒超声筛选适合手术患者36例,其中肝癌21例,肝硬化失代偿11例,肝硬化并肝癌4例。术后早期出现肝脏轻度增大,不同程度的胸腔积液、腹腔积液及胆囊窝积液。10例出现排斥反应,1例出现肝动脉并发症。结论彩色多普勒超声对肝移植术前、术后的检查具有重要的临床意义,术前可选择适合手术的患者,术后可有效地观察移植肝形态学变化及血流动力学的变化,对提高肝移植手术的成功率有重要的应用价值。

Objective To evaluate the color Doppler flow imaging(CDFI)in patients before and after liver transplantation. Methods Preoperative and postoperative CDFI examinations were performed many times on 39 patients undergoing orthotopic liver transplantation,and 21 normal controls were monitored for hepatic hemodynamic changes by CDFI.Results The selected patients with liver diseases were treated by liver transplantion,and examined by CDFI preoperatively.36 patients,including 21 hepatic cell carcinoma patients,11 hepatocirrhosis patients in the decompenstation stage,and 4 patients with cirrhotic hepatic cell carcinoma,received liver transplantation.After the operation,in these patients,liver hyperplasia in certain degree,gallbladder fossa fluid collection,pleural effusion, and abdominal effusion were early shown by CDFI.10 patients showed allograft rejection,and 1 patient dereloped hepatic artery complications.Conclusions CDFI plays an important role in patients before and after liver transplantation.CDFI is a useful method for ensuring the success of orthotopie liver transplantation.