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时间:2020-05-19
《浅谈彩色多普勒及超声造影检测肝移植术后肝动脉并发症的应用.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、《中国医学创新》第12卷第14期(总第332~])2015年5月经验交流dingyanjiaoliu浅谈彩色多普勒及超声造影检测肝移植术后肝动脉并发症的应用许宇光①【摘要】目的:分析彩色多普勒血流显像(CDFI)与超声造影的区别并探讨他们在检测肝移植术后肝动脉并发症中所发挥的作用。方法:对136例肝移植术后患者进行彩色多普勒血流显像检查,并观察肝动脉及肝实质的血流灌注是否出现异常。其中38例彩色多普勒血流成像为可疑异常者,遂采用CPS成像技术,即用SonoVue及超声造影匹配成像技术行超声造影检查。结果:在全部136例病例
2、中,98例患者的肝动脉多普勒血流的信号显示清晰,占总例数的72.06%,其中38例患者术后早期、多切面扫查,CDFI无法做到对肝动脉血栓形成(HAT)的排除;6例患者在超声造影后,肝动脉主干及分支走行正常,显示清晰;有1例患者术后1周自身肝动脉血流信号无清晰显示,在第11天后,临床医师对其行以超声造影诊断确诊为HAT;有1例患者肝内回声杂乱(1O个月内)直接呈现出多发边界的回声区,最终临床确诊为HAT伴肝弥漫性梗死。结论:CDFI与超声造影可以互补,对肝移植术后肝动脉并发症诊断的准确性有提高的作用。【关键词】超声造影;肝移
3、植;血管症ApplicationofCDFIandContrast—enhancedUltrasoundinDetectingHepaticArteryComplicationsafterLiverTransplantation/XUYu-guangJ/MedicalInnovationofChina。2015.12(14):133-135【Abstract】objective:ToanalyzethedifferencesbetweencolorDopplerflowimaging(CDFI)andcontrastenh
4、ancedultrasound,toexploretheirvaluesinthedetectionofhepaticarterycomplicationsafterlivertransplantation.Method:136casesoflivertransplantationpatientswereexaminedbycolorDopplerflowimaging,andtoobserveifthebloodpefusionofhepaticarteryandhepaticparenchymawasabnorma1.
5、Amongthem38caseswithcolorDopplerflowimagingwassuspectedabnormalities,thenusingCPSimagingtechniques,namelySonoVueandcontrast-enhancedultrasoundimagingtechniquestoexamine.Result:Inallthe136cases,Thehepatica~erydopplerbloodflowsignalsof98patientsshowedclearly,account
6、ingfor72.06%ofthetotalnumber,CDFIcan’truleoutoftheHATforthe38caseswithearlypostoperativeandmuhiplesectionscan.Aftercontrast—enhancedultrasound,6patients’liverarterytrunkandbranchlinewerenormalandshowedclearly.1patient’Shepaticarterialbloodflowsignalswerenotshowedc
7、learly1weekafterpostoperative,11dayslater,thepatientwasconfirmedasHATwithcontrast—enhancedultrasounddiagnosis.1patient’SCDFIshowedintrahepaticechoclutter(in10months)andmultipleechooftheborderarea,thefinalclinicaldiagnosiswasHATwithdiffuseinfarctionoftheliver.Concl
8、usion:CDFIandcontrast-enhancedultrasoundcanbecomplementary.Theycanimprovetheaccuracyofdiagnosisofhepaticarterycomplicationsafterlivertransplantationeffe
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