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| 超声在肝移植术后胆道并发症诊治中的应用 | |
| 引用本文： | 张炜炜,孔文韬,周建新,邵宁一,徐寒子,丁义涛. 超声在肝移植术后胆道并发症诊治中的应用[J]. 中国医学影像学杂志, 2004, 12(3): 185-187,208 |
| 作者姓名： | 张炜炜 孔文韬 周建新 邵宁一 徐寒子 丁义涛 |
| 作者单位： | 210008,南京,南京大学医学院附属鼓楼医院肝胆外科 |
| 摘 要： | 目的:探讨超声在肝移植术后胆道并发症诊治中的价值.材料和方法: 6例实施肝移植术后临床拟诊胆道并发症的患者,以二维超声检查移植肝及肝周情况,以彩色多普勒超声评估肝动脉、下腔静脉血流,并与其他影像学检查相对比.结果: 胆系梗阻3例(2例合并肝内多发胆汁肿)、胆管内胆泥形成1例、胆漏2例(在超声引导下置管引流).肝动脉血栓2例.肝流出道狭窄合并血栓1例.结论: 超声在肝移植术道并发症的诊治中有着重要的应用价值. |
| 关 键 词： | 超声 肝移植 胆道并发症 |
| 修稿时间： | 2003-07-29 |
Ultrasound Diagnosis and Treatment of Biliary Complications after Liver Transplantation |
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| Zhang Weiwei,Kong Wentao,Zhou Jianxin,Shao Ningyi,Xu Hanzi,Ding Yitao. Ultrasound Diagnosis and Treatment of Biliary Complications after Liver Transplantation[J]. Chinese Journal of Medical Imaging, 2004, 12(3): 185-187,208 | |
| Authors: | Zhang Weiwei Kong Wentao Zhou Jianxin Shao Ningyi Xu Hanzi Ding Yitao |
| Abstract: | Purpose: To investigate the value of ultrasonography in the diagnosis and treatment of biliary tract complications after liver transplantation. Materials and Methods: The clinical and ultrasonic data of six patients who suffered from biliary complications after liver transplantation were retrospectively reviewed by B mode ultrasound,and the flow in the hepatic artery and inferior vena cava by CDFI. Results: Obstructions of biliary tract were observed in 3 cases (complicated with biloma in 2),sludges in biliary tract were observed in 1,and biliary leaks were observed in 2 (both drained under the guidance of ultrasonography). Embolisms of hepatic artery were observed in 2 cases. Stenosis of anastomosis of hepatic veins and secondary complicated thrombosis were observed in 1 case. Conclusion: Ultrasound is of clinical value in the postoperative patients with biliary tract complications. |
| Keywords: | ultrasound liver transplantation biliary tract complications |
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