肝移植术后胆系造影的临床价值(附20例报告)

目的:探讨肝移植术后胆系造影的临床价值。方法:回顾性总结了20例肝移植患者的胆系造影表现及临床资料。并简要分析了异常影像与胆系合并症的关系。结果:5例肝内胆管系统呈痉挛、枯枝状,6例肝内胆管壁不规则,小斑片状,管腔粗细不均,2例胆管吻合口区域狭窄。1例胆管吻合口瘘。6例显示正常。结论:肝移植术后常规胆系造影检查十分重要,对了解胆道通畅情况及胆管系统合并症有很大临床应用价值。

The Clinical Value of Cholangiography after Liver Transplantation (with Report of 20 Cases)

Objective:To investigate the clinical application value of cholangiography after liver transplantation.Methods:20 cases after liver transplantation were retrospectively analyzed with cholangiography findings and clinical situations.The relationship between the abnormal images and the biliary complications was analyzed simply.Results:In 5 cases the bile ducts were spastic and looked as deadwood.In 6 cases the wall of bile ducts appeared irregular,like patches or dotted lines.The internal diameters of bile ducts were asymmetrical.In 2 cases there were stenosis of biliary stoma.In 1 case there was fistula of biliary anastomosis.In 6 cases there were no abnormal findings.Conclusion:Cholangiography could accurately display the status of bile ducts of the transplanted liver.It is very helpful to diagnose the biliary complications.After liver transplantation cholangiography should be a routine examination to furnish the reliable information for clinical postoperative treatment.