肝移植术前影像学表现

目的研究肝移植术前的影像学表现,为外科肝移植术前病人选择,手术计划制定,预后评估及合理选择影像学检查方法提供帮助。方法肝移植患者37例中,术前行超声检查15例,CT检查20例,MRI检查17例。结果结节性肝硬化18例;肝细胞癌5例;肝硬化合并肝细胞癌8例;胆管细胞癌2例;胆囊癌1例;重症肝炎1例;包虫病并结节性肝硬化和肝脏恶性间质瘤各1例,术前未作出诊断。结论各种影像学检查各有优势,合理地运用,不仅可以作出疾病的定性诊断,为外科医生术前提供全面的影像信息,还有助于手术计划的制定,预后的评估,为我国肝移植标准的制定提供帮助。

The Preoperative Imaging of Liver Transplantation

Objective:Studing the preoperative imaging of liver transplantation provide help for preoperative selection of patient,disigning surgery and rational choice of imaging examination.Methods:In 37 patients,there were 15 patients taking USG examination,20 patients taking CT examination and 17 patients taking MRI examination.Result:There were 18 cases having nodal hepatic cirrhosis;5 cases hepatic cell carcinoma;8 cases hepatic cirrhosis with hepatic cell carcinoma;2 cases cholangiocell carcinoma;1 case choiangiocarcinoma;1 case heavy hepatitis;1 case hydatid disease of liver with nodal hepatic cirrhosis and 1 case hepatic malignant interstitial cell tumor without correct diagnosis before operation.Conclusion:There were various advantages in different imaging examination methods.If there were used correctly,not only characristic dignosis of the diseases and providing whole imaging information could be made,but also help for making the operation plan,evaluation prognosis and making native criterion of liver transplantation.