肝移植术后并发症的CT影像学研究

The spiral CT imaging study of complications after liver transplantation

目的:系统性研究肝移植术后各种并发症的CT影像学表现。资料与方法:对2003～2005年3年之间资料完整的23例同种异体原位肝移植术后CT影像学表现进行回顾性研究。结果:所有肝移植术后患者均出现肝周积液、胸腔积液及右下肺肺炎及门静脉伴行影。肝梗死4例,局限性脾梗死1例,肝内血肿2例,腹膜后血肿1例,胆总管下段胆泥阻塞伴胆管扩张5例,13例肝癌患者中肝移植术后单纯双肺转移3例,单纯移植肝转移1例,多脏器转移8例,1例因术后循环衰竭而死亡。结论:双螺旋CT能清楚显示肝移植术后的并发症影像。

Objective： To comprehensively investigate the CT imaging of liver transplantation-related complications. Methotis： The images of 23 patients with liver transplantation were studied retrospectively which had integrated data from 2003 to 2005. Results： All the patients showed perihepatic effusion, pleural effusion, right lower lobe pneumonia and accompanying shadow of portal vein. Hepatic infarction（n=4）, splenic infarction（n=1）, hepatic hematoma（n=2）, retro-peritoneal hematoma（n=1）, occlusion of distal segment of common bile duct accompanied with cholangiectasis（n=5）. Among 13 patients of liver cancer, after operation, 3 patients had only pulmonary metastasis, one case had only transplanted hepatic metastasis, 8 cases had several organs metastasis, and one patient died of circulatory failure. Conclusion： Double spiral CT can display the complications after liver transplantation.