超声检测肝移植术后肝内并发症的临床价值

Clinical value of ultrasonic examination in the postoperative complications of liver transplantation

目的总结移植肝并发症的超声表现,探讨超声检测肝移植术后肝内并发症的临床价值。方法回顾肝移植术后超声检查肝内发现病灶者37例,对照其病理和增强CT结果,计算各种并发症的概率及超声检查准确度等指标。结果 37例患者最终结果显示局限性血肿或积液25例(68%),门静脉血栓或狭窄6例(16%),局灶性坏死2例(5%),肿瘤复发2例(5%),肝动脉闭塞2例(5%)。超声漏诊误诊2例,诊断准确率95%。结论超声在诊断肝移植术后肝内并发症方面有不可替代的优势,对临床治疗和预后有重要价值。

Objective To investigate the clinical value of ultrasonic examination in the postoperative complications of liver transplantation. Methods Thiry-seven cases of postoperative complications with liver transplantation were reviewed retrospectively. Contrast its pathology and enhanced CT findings, calculate probability of various complications and the accuracy of ultrasonic inspection. Results The final result showed that there were 25 cases with the limitations of the hematoma or effusion（68%）, 6 cases with portal vein thrombosis or stenosis（17%）, 2 cases with Focal necrosis（5%）, 2 cases with tumor recurrence occurred（5%）, 2 cases with hepatic arterial occlusion（5%）,2cases with missed diagnosis and misdiagnosis, with the diagnostic accuracy of 95%. Conclusion Ultrasound has great advantages in the diagnosis of hepatic complications after liver transplantation, and is important for clinical treatment and prognosis.