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超声造影在肝移植肝动脉栓塞诊断中的应用 被引量:6

Application of contrast-enhanced ultrasound in diagnosis of hepatic artery thrombosis after liver transplantation
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摘要 目的探讨超声造影在肝移植后肝动脉栓塞诊断中的应用价值。方法对475例肝移植受者于术后常规进行肝动脉彩色多普勒超声检查,对11例怀疑肝动脉栓塞患者进行超声造影检查。结果11例患者超声造影均与血管造影或CT血管成像检查结果一致。11例可疑肝动脉栓塞患者中,超声造影明确诊断肝动脉栓塞6例,其中3例伴肝内梗死灶形成。另5例未栓塞患者肝动脉直径纤细,其中3例合并重度脂肪肝。结论超声造影诊断肝动脉栓塞的准确性与血管造影或CT血管成像一致,具有重要的临床应用价值。 Objective To discuss the application value of contrast-enhanced ultrasound(CEUS) in diagnosis of hepatic artery thrombosis(HAT) after liver transplantation. Methods Four hundred and seventy-five liver transplantation patients were performed routine exam by color Doppler ultrasound, 11 patients suspected of HAT were examined by CEUS. Results All cases were confirmed by DSA or CTA. Of them,6 cases were thrombotic by CEUS,and 3 cases out of the 6 cases HAT were founded infarction. The other 5 cases were nonthrombotic,but the diameter of hepatic artery showed narrow,3 patients were accompanied by severe fatty liver. Conclusions CEUS is equally effective as DSA or CTA in diagnosing HAT after liver transplantation.
出处 《中华超声影像学杂志》 CSCD 2008年第3期237-239,共3页 Chinese Journal of Ultrasonography
关键词 超声检查 造影剂 肝移植 肝动脉 血栓栓塞 Ultrasonography Contrast media Liver transplantation Hepatic artery Thromboembolism
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参考文献5

  • 1Silva MA, Jambulingam PS, Gunson BK, et al. Hepatic artery thrombosis following orthotopic liver transplantation: a 10 year experience from a single centre in the United Kingdom. Liver Transpl, 2006,12:146-151.
  • 2唐缨,潘澄,王玉红,沈中阳.超声对原位肝移植术后肝动脉并发症诊断新认识[J].中国超声医学杂志,2002,18(5):338-341. 被引量:20
  • 3Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation:temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis. Radiology, 1996, 198 : 553- 559.
  • 4Sidhu PS,Shaw AS,Ellis SM,et al. Microbubble ultrasound contrast in the assessment of hepatic artery patency following liver transplantation: role in reducing frequency of hepatic artery arteriography. Eur Radiol, 2004,14 : 21-30.
  • 5郑荣琴,吕素琴,杨扬,蔡常洁,陆敏强,黄冬梅,陈规划.彩色多普勒及超声造影检测肝移植术后肝动脉并发症的应用[J].中国超声医学杂志,2006,22(5):363-365. 被引量:32

二级参考文献5

  • 1Dodd Ⅲ GD,Memel DS,Zajko AB,et al.Hepatic artery stenosis and thrombosis in transplant recipients:Doppler diagnosis with resistive index and systolic acceleration time.Radiology.1994,192:657-661.
  • 2Taylor KJW,Strandness DE.Clinics in diagnostic ultrasound:duplex Doppler ultrasound.New York,NY:Churchill Livingstone,1990.176-183.
  • 3Hall TR,McDiarmid SV,Grant EG,et al.False-negative duplex Doppler studies in children with hepatic artery thrombosis after liver transplantation.Am J Roentgenol.1990,154:573-575.
  • 4Sidhu PS,Shaw AS,Ellis SM,et al.Microbubble ultrasound contrast in the assessment of hepatic artery patency following liver transplantation:role in reducing frequency of hepatic artery arteriography.Eur Radiol.2004,14:21-30.
  • 5杨扬,陈规划,谢晓燕,蔡常洁,陆敏强,黄蓓,李梅娣.彩色多普勒超声在肝移植术后肝动脉并发症的应用价值[J].中华肝胆外科杂志,2003,9(9):520-523. 被引量:19

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