| 成人活体右半肝移植术前供肝体积评估100例资料分析 |
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| 引用本文： | 张宇,徐骁,彭志毅,王伟林,张珉,吴健,俞军,郑树森. 成人活体右半肝移植术前供肝体积评估100例资料分析[J]. 中华移植杂志(电子版), 2010, 4(1): 12-14. DOI: 10.3877/cma.j.issn.1674-3903.2010.01.004 |
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| 作者姓名： | 张宇 徐骁 彭志毅 王伟林 张珉 吴健 俞军 郑树森 |
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| 作者单位： | 浙江大学医学院附属第一医院肝胆胰外科,卫生部多器官联合移植研究重点实验室,杭州,310003 |
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| 基金项目： | 国家重点基础研究发展计划(973计划)资助项目(2009CB522403); “十一五”国家科技支撑计划重点项目资助项目(2008BAI60B02); 2009年浙江省科技计划资助项目(2009C33146) |
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| 摘 要： | 目的探讨成人活体右半肝移植中术前移植肝估测体积(GV)与术中实测质量(GW)的相关性。方法回顾性分析100例活体右半肝移植的临床资料,获得术前基于螺旋CT三维重建的GV和GW的数据,比较分析GV与GW、GV和受者标准肝体积(SLV)之比(GV/SLV)与GW和SLV之比(GW/SLV)之间的相关性。结果 GV(772.8±114.8)mL和GV/SLV0.624±0.082分别大于GW(654.7±86.7)g、GW/SLV0.529±0.060(均P=0.000);而且GV与GW、GV/SLV与GW/SLV均呈正相关(均P=0.000)。结论基于螺旋CT扫描并进行三维重建所估测的GV值大于术中实际获取GW值,两者存在正相关关系;活体肝移植中移植肝的体积评估方法仍需进一步完善。
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| 关 键 词： | 肝移植 活体供者 体积 评估 三维重建 |
Pre-transplant evaluation of graft volume in adult living donor liver transplantation with the right lobe: a single center experience of 100 cases |
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| ZHANG Yu,XU Xiao,PENG Zhi-yi,WANG Wei-lin,ZHANG Min,WU Jian,YU Jun,ZHENG Shu-sen. Pre-transplant evaluation of graft volume in adult living donor liver transplantation with the right lobe: a single center experience of 100 cases[J]. Chinese Journal of Transplanation(Electronic Version), 2010, 4(1): 12-14. DOI: 10.3877/cma.j.issn.1674-3903.2010.01.004 |
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| Authors: | ZHANG Yu XU Xiao PENG Zhi-yi WANG Wei-lin ZHANG Min WU Jian YU Jun ZHENG Shu-sen |
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| Affiliation: | ZHANG Yu,XU Xiao,PENG Zhi-yi,WANG Wei-lin,ZHANG Min,WU Jian,YU Jun,ZHENG Shu-sen. Department of Hepato-biliary-pancreatic Surgery,the First Affiliated Hospital,Zhejiang University School of Medicine,Key Laboratory of Multi-Organ Combined Transplantation,Ministry of Public Health,Hangzhou 310003,China |
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| Abstract: | Objective To explore the relationship between the pre-transplant estimated volume of grafts and the actual weight by intraoperative measurement in the adult-to-adult right lobe living donor liver transplantation( LDLT) . Methods One hundred cases of adult-to-adult right lobe LDLT were retrospectively analyzed. Pre-operative graft volume ( GV) was obtained based on helical CT and three-dimensional reconstruction. Paired t test and correlation analysis were used to compare the relation-ship between GV and int... |
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| Keywords: | Liver transplantation Living donons Volume Evaluation 3D reconstruction |
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