摘要
目的 :肝移植术后找到一种敏感而有效的检查与监测手段是降低移植死亡率和提高生存率的关键。方法 :应用彩色多普勒和能量图超声扫描仪对 7例肝移植病人进行术前和术后检查与监测。结果 :1周之内的移植肝脏血管重建显示再通及血流灌注良好 ,各血流参数范围包括动脉、门静脉、肝静脉未见明显异常 ,术后第 8～ 180天不等时间内 7例出现不同程度和不同类型的并发症 ,主要为胆道和缺血性两种。讨论 :肝动脉狭窄或肝动脉血栓形成视为肝移植术后为最为严重和致命性的并发症 ,彩色多普勒超声检查具有较高的敏感性和一定的特异性 。
Objective:After liver transplantation,to find a kind of sensitive and effective method to monitor patients' condition is a key of decreasing mortality rate and raising survial rate.Methods:Preoperation and postoperation,color doppler flow imaging (CDFI) and color doppler energy (CDE) were performed in 7 liver transplant recipients to monitor their state.Results:Revascularization display recanalization and perfusion well within a week after operation.The range of blood flow's sparametes which include heptic artery,portal vien,heptic vein is normal.After a week of operation,7 patients occur different serious degree and different kinds of complication,the main complications of which is billiary and ischemic complications.Conclusions:The most serious and fatal complication is stenosis or emboliztion of heptic artery.Color Doppler sonography is very senstivie and a certain specific examination.Except angiography,CDFI and CDE/(CDUS) is the most sensitive method in all other kinds of imaging methods.
出处
《中国现代医学杂志》
CAS
CSCD
2001年第8期13-14,共2页
China Journal of Modern Medicine
