彩色多普勒超声在肝移植术后并发症诊断中的应用价值

目的 探讨灰阶及彩色多普勒超声在肝移植术后并发症诊断中的价值。方法 回顾分析和总结了110例原位肝移植术后并发症的发生情况及彩色多普勒超声检查结果。结果 110例肝移植术后，超声正确诊断肝动脉拴塞3例、门静脉栓塞6例、下腔静脉栓塞7例、肝静脉狭窄1例、胆管并发症8例、胸腔积液79例、腹腔积液例78例、肝周积液31例，误诊肝动脉栓塞1例。结论 彩色多普勒超声在肝移植术后并发症的诊断中具有重要的价值，肝动脉栓塞假阳性的问题有待于进一步探讨。

The Value of Color Doppler Ultrasonography in Diagnosing Complication of Orthotopic Liver Transplantation

Objective To evaluate the value of color Doppler ultrasound in diagnos is of complication of orthotopic liver transplantation. Metheds The results of ultrasounic dignosis of 110 cases with orthotopic liver transplantation. were analysed. Result Three cases hepatic artery thrombosis,6 cases potal vein thrombosis, 7 cases IVC thrombosis and 1 case stenosis of hepatic vein were correctly diagnosed by color Doppler ultrasound; 8 cases bile duct stricture,79 cases hydrotrorax ,78 cases ascites and 31 cases fluid collection in periliver area were found; 1 case of false diagnosis of hepatic artery thrombosis occurred. Conclution Color Doppler ultrasound is important and valuble for diagnosing complication of liver transplantation; the false positive diagnosis of hepatic artery thrombosis, the relationship between those complication and basic disease requires further study.