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肝移植术后并发症的影像学评价 被引量:4

Imaging Evaluation of Complications of Liver Transplantation
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摘要 目的:采用多种影像学措施评价肝脏移植术后并发症。材料和方法:16例背驮式原位肝移植术患者,术后7天内每日行胸片及胸腹部超声检查。术后2周~12个月,当患者出现发烧、皮肤巩膜黄染及异常B型超声发现时,行上腹部CT检查5例8次、同时行胸部CT检查2例、上腹部MRI及MRCP检查6例、ERCP检查4例、PTC检查2例、“T”管造影2例和下腔静脉造影1例。结果:术后1周内诊断胸腔积液14例(14/16);术后1~2周诊断肺部感染7例(7/16);肺不张4例(4/16)。术后4个月和8个月诊断右肺和移植肝多发转移瘤各1例(2/6);术后3周~10个月诊断胆总管吻合口狭窄、胆管炎、胆泥形成等5例(5/16)。术后2周诊断下腔静脉狭窄1例(2/16)。结论:运用多种影像学检查方法有助于及时诊断肝移植术后并发症。 Purpose: To evaluate the postoperative complications of liver transplantation using multiple imaging modalities. Materials and Methods: On 16 cases of piggyback liver transplantation, a daily chest film, abdomen and thoracic cavity ultrasound screening were performed in the early 7 days after surgery. Between 2 weeks to 12 months, 8 abdominal CT scans on 5 patients, chest CT on 2 patients, MRI and MRCP on 6 patitients, ERCP on 4 patients, PTC on 2 patients, "T" tube on 2 patients and IVC venography on 1 patients were performed when fever, xanthochromia or icteric scleraepigastric occurred. Results: During the first week, pleural effusion was detected on 14 patients (14/16). 7 case of pulmonary infection (7/16) and 4 cases of pulmonary atelectasis(4/16) were detected in the first 2 weeks. Of the 6 hepatic cellular carcinoma patients, metastasis to the right lung and the transplanted liver was detected on 2 cases (2/6). Between 3rd week and 10th month, biliary stenosis, cholangitis, sludge were detected on 5 patients (5/16). 1 case of IVC stenosis was detected at the 2nd week (1/16 ). Conclusion: Multiple modalities examinations were helpful for the detection of complication of piggyback liver transplantation.
出处 《中国医学影像学杂志》 CSCD 2006年第2期94-97,共4页 Chinese Journal of Medical Imaging
关键词 肝移植 并发症 影像学诊断 liver transplantation, complication, imaging diagnosis
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