CT检查对肝移植手术的评价
摘要
随着肝移植外科技术的完善和新型免疫抑制剂的应用。肝移植已成为终末期肝病患者的有效治疗手段。但由于肝移植手术操作的复杂性,术前、后须进行临床、外科和影像学全面评价。在术前,临床上迫切需要运用各种无创或微创性影像技术对肝脏疾病、血管及胆管作出准确的综合评价,为临床医师客观估计手术能否进行、手术难度和风险,科学制定术前准备提供依据,成为学者们研究的热点。术后常发生一些并发症,因此,作为影响学评价,要求评估的主要内容为确定手术的适应证和禁忌证及术后并发证及术后并发症.
出处
《临床医药实践》
2009年第6期405-407,共3页
Proceeding of Clinical Medicine
参考文献17
-
1Copel L,Sosna J ,Week D,et al. Use of three-dimensional CT in the abdomen :a useful preoperative planning tool[J]. Surg Technol Int ,2003,11(1) :71-78.
-
2Erbay N,Raptopoulos V,Pomfret E A,et al. Living donor liver transplantation in adults: vascular vari- ants important in surgical planning for donors and recipients[J ]. Am J Roentogenol, 2003,181 ( 1 ) : 109- 114.
-
3Cheng Y F, Chen C L, Jawan B, et al. Multi-slice computed tomography angiogphy in pediatric liver tranplantation [J]. Transplantation, 2003,76 (2) : 353- 357.
-
4陈炽贤 高元贵.中华影像医学总论卷[M].北京:人民卫生出版社,2002.104-105.
-
5Kikkawa A,Ichilcawa T. Analysis of angiographiyic computed tomgraphy with rapid helical scan clincal usefulness for the diagnosis of hepatocellular carcinma [J ]. Nippon Zka Daigakn Zasshi, 1998,65 ( 5 ) : 367- 376.
-
6Quiroga S,Sehastia M C ,Margarit C ,et al. Complications of orthotopic liver transplantation:spectrum of findings with helical CT[J]. Radiographics , 2001: 21 (5)1 085.
-
7Nghiem H V,Dimas C T,Mcvicar J P,et al. Impact of double helical CT and three-dimensional CT arte riography on surgical planning for hepatic transplantation [J]. Abdom Imaging, 1999, 24 ( 3 ) 278-284.
-
8Wunsch C, Richter G M, Hansmann J,et al. CT angiography as a non-invasive method for the evalnation of the patency of TIPSS(transjugular intrahepatic portosy-temic shunt) [J]. Radiology, 1998, 38 (11):958-966.
-
9Liu H J,Du X K,Li H B,et al. Diagnosis of bilary complication after or thotopic liver transplantation with multi-slice helical CT[J]. Chin J Med Imaging Technol,2002,18(5) :412-413.
-
10Katyal S, Oliver J H, Bucz E D, et al. Detection of vascular complications after liver transplantation: early experience in multi-slice CT angiogrphy with volume rendering [J]. AJR, 2000, 175 (6): 1 735-1 739.
二级参考文献21
-
1黎一鸣,秦兆寅,康亚安,杨文斌,李军,程颖波,王云珠,王新民,王云珠,王新民.简易犬自体肝原位移植模型建立及意义[J].中华实验外科杂志,1995,12(2):113-114. 被引量:16
-
2黎一鸣,向国安,秦兆寅,康亚安,杨文斌,房志武.肝动脉缺血后供肝组织中氧自由基含量变化及意义[J].西安医科大学学报,1995,16(4):375-377. 被引量:1
-
3[1]Itai Y,Matsui O.Blood flow and liver imaging[J].Radiology,1997,202(2):306-314.
-
4[2]Materne R,Van Beers BE,Smith AM,et al.Non-invasive quantification of liver perfusion with dynamic computed tomography and a dual-input one compartment model[J].Clin Sci,2000,99(6):517-525.
-
5[3]Brix G,Bahner ML,Hoffman U,et al.Regional blood measurement with dynamic CT-initial experience[J].Radiology,1999,210(1):269-276.
-
6[4]Miles KA,Hayball MP,Dixon AK.Functional images of hepatic perfusion obtained with dynamic CT[J].Radiology,1993,188(2):405-411.
-
7[5]Van Beers BE,Leconte I,Materne R,et al.Hepatic perfusion parameters in chronic liver disease.Danamic CT measurements correlated with disease severity[J].AJR,2001,176(6):667-673.
-
8[6]Ett DA,Kelley BB,Dawson P,et al.Colorectal cancer:diagnostic potential of CT measurements of hepatic perfusion and implications for contrast enhancement protocols[J].Radiology,1997,205(3):716-720.
-
9[7]Cui D,Kiuchi T,Egawa H,et al.Microcirculationary changes in right lobe grafts in liver-donar transplantation:anear-infrared spectrometry study[J].Transplantation,2001,72(2):291-295.
-
10[8]Charles A,Cuenod IL,Nathalie S,et al.Early changes in liver perfusion caused by occult metastasis in rats: detection with quantitative CT[J].Radiology,2001,218(2):556-561.
共引文献36
-
1慕革非,全显跃,俞志坚,梁文.肝细胞癌门静脉侵犯的3D DCE MRA表现[J].中国医学影像技术,2008,24(S1):134-136. 被引量:2
-
2黄勇慧,杨建勇,陈伟,庄文权,孔健,江利.慢性终末期肝病肝移植后肝脏血流动力学的CT灌注成像评价[J].临床放射学杂志,2005,24(1):40-45. 被引量:7
-
3邱宝安.肝动脉与腹主动脉间架桥在肝移植中的作用[J].海军总医院学报,2005,18(2):80-82. 被引量:1
-
4黄勇慧,杨建勇,李家平.CT灌注成像对终末期肝病肝移植后肝脏双期灌注量的监测[J].世界华人消化杂志,2005,13(13):1615-1617. 被引量:7
-
5张皓,顾爱华,缪竞陶,胡运胜,张贵祥,何之彦.肝脏MR灌注成像技术方法的优化研究[J].中国医学影像技术,2005,21(10):1576-1578. 被引量:1
-
6董李花.MRI和CT在高血压性脑出血诊断中的应用[J].现代实用医学,2005,17(10):615-616. 被引量:3
-
7黄勇慧,杨建勇,陈伟,李家平,谢洪波,江利.综合影像方法在肝移植后动脉并发症诊断的应用初探[J].临床放射学杂志,2005,24(12):1067-1070. 被引量:1
-
8周小燕,苏丹柯,刘剑仑,谢东,李强,黄伟丽.肝脏MSCT去卷积法灌注技术及正常阈值的初步研究[J].实用放射学杂志,2006,22(6):691-694. 被引量:2
-
9黄勇慧,杨建勇,李家平,杨杨,何晓顺,陈伟,庄文权.肝移植后CT与超声检查对肝血流指数监测的比较研究[J].影像诊断与介入放射学,2006,15(5):213-215.
-
10卞读军,肖恩华.多层螺旋CT肝脏灌注成像及其临床应用[J].实用放射学杂志,2007,23(2):258-262. 被引量:1
-
1张小玲.甲状腺疾病术后并发证的辩证治疗[J].黑龙江中医药,1997(3):14-15. 被引量:1
-
2尹伯约,尹乐康,宋淑华,党德胜.人工肛门的康复治疗[J].中国普外基础与临床杂志,1998,5(1):34-35. 被引量:6
-
3范洪伟.手术治疗32例距骨颈骨折的疗效分析[J].中国医药指南,2012,10(18):621-622. 被引量:2
-
4高增润.关于腹腔镜胆囊切除术中是否放置腹腔引流管的临床探讨[J].内蒙古医学杂志,2009,41(12):1509-1510. 被引量:2
-
5戚孝文.老年急性胆道感染的手术治疗——(附45例报告)[J].陕西医学杂志,1994,23(7):390-391.
-
6丁盛,刘宝玉,俞永康,文自力,刘志勇.医用生物蛋白胶在胸外科手术中的应用(附60例报告)[J].西南国防医药,2003,13(5):495-496.
-
7吴向未,彭心宇,张示杰,牛建华,孙红.根治性肝包虫病外科治疗术式选择[J].西部医学,2003,1(4):304-305. 被引量:1
-
8吴小刚,李晓红,喻敏.曲马多复合丙泊酚用于无痛人流术的临床观察[J].江西医药,2008,43(12):1381-1382. 被引量:2
-
9胡春旭,高崇荣.不同配伍异丙酚用于人工流产[J].河南外科学杂志,2003,9(4):11-13.
-
10孙学斌,曹力.人工全髋关节置换术后假体脱位的防治[J].新疆医科大学学报,2006,29(4):373-375. 被引量:2