CAJ | 학술논문

目的：探讨肝动脉三维灰阶超声造影（3D-CEUS）用于诊断肝移植术后肝动脉并发症的价值。方法对26例肝移植供体或怀疑肝动脉并发症的肝移植受体进行常规彩超、二维灰阶超声造影（2D-CEUS）和3D-CEUS检查。评价3D-CEUS的图像重建成功率及重建的肝动脉三维图像质量。结果26例患者3D-CEUS可显示21条肝动脉，图像重建成功率81％。用3D-CEUS重建的肝动脉三维图血管连续性好，可显示冠状面Z轴上的、细小或迂曲的分支或属支，能帮助判定肝动脉段分支起源，能明确地显示血管的空间关系。结论3D-CEUS检查具有三维图像直观、立体、清晰的特点，在诊断肝移植术后肝动脉并发症中具有临床应用价值。
목적：탐토간동맥삼유회계초성조영（3D-CEUS）용우진단간이식술후간동맥병발증적개치。방법대26례간이식공체혹부의간동맥병발증적간이식수체진행상규채초、이유회계초성조영（2D-CEUS）화3D-CEUS검사。평개3D-CEUS적도상중건성공솔급중건적간동맥삼유도상질량。결과26례환자3D-CEUS가현시21조간동맥，도상중건성공솔81％。용3D-CEUS중건적간동맥삼유도혈관련속성호，가현시관상면Z축상적、세소혹우곡적분지혹속지，능방조판정간동맥단분지기원，능명학지현시혈관적공간관계。결론3D-CEUS검사구유삼유도상직관、입체、청석적특점，재진단간이식술후간동맥병발증중구유림상응용개치。
Objective To investigate the value of three-dimensional contrast-enhanced ultrasound (3D-CEUS) in diagnosing the hepatic artery complications after liver transplantation.Methods A total of 26 liver transplant donors or recipients suspected with hepatic artery complications were examined by color Doppler ultrasound, two-dimensional contrast-enhanced ultrasound ( 2D-CEUS ) and 3D-CEUS.The successful reconstruction rates of 3D-CEUS and the three-dimensional image quality of reconstructed hepatic arteries were evaluated.Results In the 26 patients, 21 hepatic arteries could be visualized with a successful reconstruction rate 81%.The three-dimensional images of hepatic arteries by 3D-CEUS were continuous.The coronal ( Z-axle) , fine or circuitous branches or tributaries could be visualized well.The segmental hepatic arteries origin could be determined and the spatial relationship of vessels could be visualized definitely.Conclusions The 3D-CEUS images are intuitive , three-dimensional and clear , and have clinical application value in diagnosing of hepatic artery complications after liver transplantation.