中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (18): 3247-3250.doi: 10.3969/j.issn.1673-8225.2011.18.005

• 肝移植 liver transplantation • 上一篇    下一篇

彩色多普勒超声对肝移植后胆道并发症的诊断价值

凌文武，全杰荣，卢  强，文晓蓉，林  玲，罗  燕   

  1. 四川大学华西医院超声科，四川省成都市  610041
  • 收稿日期:2010-10-12 修回日期:2011-01-10 出版日期:2011-04-30 发布日期:2011-04-30
  • 通讯作者: 罗燕，硕士，教授，硕士生导师，主任医师，四川大学华西医院超声科，四川省成都市 610041 luoyan77@vip.sina.com
  • 作者简介:凌文武★，男，1985年生，安徽省枞阳县人，汉族，四川大学华西医院超声科在读硕士，主要从事腹部超声诊断学研究。 lingwenwubing@163.com

Diagnostic value of color Doppler ultrasound for biliary complications of liver transplantation

Ling Wen-wu, Quan Jie-rong, Lu Qiang, Wen Xiao-rong, Lin Ling, Luo Yan   

  1. Department of Ultrasound, West China Hospital of Sichuan University, Chengdu  610041, Sichuan Province, China
  • Received:2010-10-12 Revised:2011-01-10 Online:2011-04-30 Published:2011-04-30
  • Contact: Luo Yan, Master, Professor, Master’s supervisor, Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China luoyan77@vip.sina.com
  • About author:Ling Wen-Wu★, Studying for master’s degree, Department of Ultrasound, West China Hospital of Sichuan University, Chengdu 610041, Sichuan Province, China lingwenwubing@163.com

PDF

365

被引次数

9

摘要：

背景：肝移植后胆道并发症是引起移植后移植肝失功的重要原因，彩色多普勒超声是目前公认的肝移植后患者随访首选简便的检查方法，可以为临床上对肝移植后并发症的诊治提供较可靠的证据。
目的：探讨彩色多普勒超声在肝移植后胆道并发症诊断中的应用价值。
方法：回顾性分析126例肝移植后常规超声检查时胆道并发症的发生情况及彩色多普勒超声检查结果。以磁共振胆胰管成像或超声造影或穿刺引流或临床诊断性治疗等诊断胆道并发症为标准，使用彩色多普勒超声观察肝移植后胆总管及肝内胆管是否有胆漏、狭窄、扩张、胆泥及结石形成。
结果与结论：126例中超声诊断胆道并发症的共33例，其中胆漏4例(3.2%)，胆道狭窄11例(8.7%)，胆道结石或(和)胆泥18例(14.3%)。提示彩色多普勒超声对肝移植后胆道并发症的诊断具有重要价值，可为临床的诊治提供依据。

Abstract:

BACKGROUND: Liver graft dysfunction is caused by the biliary complications after liver transplantation. Color Doppler ultrasound is widely recognized as the preferred simple inspection method of patients follow-up, which can provide reliable evidence for the diagnosis of complications after liver transplantation.
OBJECTIVE: To evaluate color Doppler ultrasound in diagnostic value of biliary complications after liver transplantation.
METHODS: The incidence of biliary complications of 126 cases with routine ultrasound examination after liver transplantation and color Doppler ultrasound results were retrospectively analyzed. The standard of diagnosis biliary complications is based on the diagnosis by magnetic resonance cholangiopancreatography (MRCP) or contrast-enhanced ultrasound or puncture and drainage or clinical treatment of diagnosis. Color Doppler ultrasound after liver transplantation was used to observe whether common bile duct and intrahepatic bile duct have bile leakage, stenosis, bile leakage, dilation, biliary sludge and stone formation.
RESULTS and CONCLUSION: A total of 33 cases with biliary complication by ultrasonic diagnosis in 126 cases, including 4 cases with bile leakage (3.2%), 11 cases with biliary stenosis (8.7%), 18 cases with biliary calculi and (or) 18 cases with biliary sludge (14.3%). It is indicated that color Doppler ultrasound has an important value in diagnosis of the biliary complications after liver transplantation, which can provide the evidence for clinical diagnosis and treatment.

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