摘要
目的 了解移植供肝活力评价方法的研究进展。方法 采用文献回顾的方式对供肝活力评价的方法加以综述。结果 从供肝形态、功能方面进行研究 ,目前各种评价供肝活力的方法有 :①外形判断 ;②术中病理检查 ;③供肝微循环的评价 ;④门静脉压力的监测 ;⑤酶学检测 ;⑥利多卡因代谢功能检测 ;⑦供肝能量代谢检测 ;⑧供肝脂肪含量的检测。结论 供肝活力评价的方法较多、进展较快 ,各有优、缺点 ,其中术中病理检查和3 1磷 核磁共振频谱分析及门静脉压力测定在临床中的应用价值较大。
Objective To study the development of methods assessing donor liver viability in liver transplantation.Methods The literature in the recent years on the methods of assessing donor liver viability was reviewed.Results From donor liver morphology to function,there have being developed many methods which assess donor liver viability,including:①donor liver appearance; ②intraoperative biopsies; ③donor liver microcirculation; ④portal pressure; ⑤enzymes levels in liver; ⑥lidocaine metabolizing activity; ⑦energy metabolism of donor liver; ⑧fat content in donor liver.Conclusion There are many methods to assess the viability of donor liver. Each has its supericrity and defect respectively. Intraoperative biopsies, 31 P magnetic resonance spectroscopy and portal pressure have more importance in clinical application.
出处
《中国普外基础与临床杂志》
CAS
2002年第4期285-287,共3页
Chinese Journal of Bases and Clinics In General Surgery
关键词
肝移植
供肝
活力
评价
Liver transplantation Donor liver Viability Method
