| 彩色多普勒超声对原位肝移植术后肝动脉血栓形成的诊断 |
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| 引用本文： | 黎萍,黄道中,张青萍,乐桂蓉,陆永萍.彩色多普勒超声对原位肝移植术后肝动脉血栓形成的诊断[J].中国医学影像技术,2004,20(1):63-65. |
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| 作者姓名： | 黎萍 黄道中 张青萍 乐桂蓉 陆永萍 |
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| 作者单位： | 华中科技大学同济医学院附属同济医院超声影像科,湖北,武汉,430030 |
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| 摘 要： | 目的评价彩色多普勒超声对原位肝移植患者术后肝动脉血栓形成的诊断价值.方法分析和总结6例原位肝移植后肝动脉血栓形成患者的彩色多普勒超声检查资料,6例患者均经手术或造影证实.结果 5例肝门和肝内门静脉周围均没见肝动脉血流信号,其中1例膈下动脉分支伸入肝内形成侧支循环, 另1例术后第3天肝动脉血流信号显示,术后第5天未见肝动脉血流; 6例均见门静脉流速增高;3例肝内见坏死灶;2例肝内胆管轻度扩张;2例Glisson鞘回声增强.结论彩色多普勒超声对肝移植后肝动脉血栓形成的诊断有重要作用.
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| 关 键 词： | 彩色多普勒超声 原位肝移植 肝动脉血栓形成 |
| 文章编号： | 1003-3289(2004)01-0063-03 |
| 修稿时间： | 2003年7月21日 |
Diagnosis of hepatic artery thrombosis of postoperative orthotopic liver transplantation with color Doppler sonography |
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| LI Ping,HUANG Dao-zhong,ZHANG Qing-ping,LE Gui-rong and LU Yong-ping.Diagnosis of hepatic artery thrombosis of postoperative orthotopic liver transplantation with color Doppler sonography[J].Chinese Journal of Medical Imaging Technology,2004,20(1):63-65. |
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| Authors: | LI Ping HUANG Dao-zhong ZHANG Qing-ping LE Gui-rong and LU Yong-ping |
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| Institution: | Department of Ultrasonography, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Department of Ultrasonography, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Department of Ultrasonography, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Department of Ultrasonography, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;Department of Ultrasonography, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China |
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| Abstract: | Objective To assess the characteristics of hepatic artery thrombosis (HAT) after orthotopic liver transplantation (OLT) with color Doppler ultrasonography (CDUS). Methods The CDUS data of 6 angiographyically or surgically proved cases of HAT after OLT was summarized. Results Five patients showed no hepatic arterial flow around portal vein. Hepatic arterial flow was observed on the third day after OLT but disappeared on the fifth day in a case. A significant increase in velocity of portal vein was observed in all the 6 patients. Collateral circulation established around hepatic artery in one case. Three patients had hepatic parenchymal necrosis. Two cases had contrast echo of Glisson and 2 had lightly dilated intrahepatic biliary duct. Conclusion CDUS has an important value in the diagnosis of HAT after OLT. |
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| Keywords: | Color Doppler ultrasonography Orthotopic liver transplantation Hepatic artery thrombosis |
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