中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
5期
693-698
,共6页
实验动物%组织构建%超声%肝移植%胆道并发症%胆漏%胆道狭窄%胆泥%胆石
實驗動物%組織構建%超聲%肝移植%膽道併髮癥%膽漏%膽道狹窄%膽泥%膽石
실험동물%조직구건%초성%간이식%담도병발증%담루%담도협착%담니%담석
liver transplantation%ultrasonography%biliary tract%gal stones%postoperative complications
背景：肝移植后胆道并发症可引起移植后肝失功，超声是移植肝胆道并发症的重要检查手段之一。目的：探讨超声对肝移植后胆道并发症的诊断价值。<br> 方法：纳入92例肝移植患者，男81例，女11例，年龄21-67岁；其中同种异体原位肝移植90例，活体部分肝移植2例；胆道重建方式均为胆管-胆管端端吻合。回顾性分析肝移植后常规检查及彩色多普勒超声检查结果，着重分析患者有无胆漏、胆道狭窄、胆泥或胆石形成，部分患者于超声引导下穿刺引流。<br> 结果与结论：92例患者中超声诊断肝移植后胆道并发症14例：胆漏5例；胆道狭窄4例，其中吻合口狭窄2例，非吻合口狭窄2例；4例胆泥形成；1例胆管结石。提示肝移植胆道并发症患者有特征性超声表现，超声对肝移植后胆道并发症的诊断有重要价值。
揹景：肝移植後膽道併髮癥可引起移植後肝失功，超聲是移植肝膽道併髮癥的重要檢查手段之一。目的：探討超聲對肝移植後膽道併髮癥的診斷價值。<br> 方法：納入92例肝移植患者，男81例，女11例，年齡21-67歲；其中同種異體原位肝移植90例，活體部分肝移植2例；膽道重建方式均為膽管-膽管耑耑吻閤。迴顧性分析肝移植後常規檢查及綵色多普勒超聲檢查結果，著重分析患者有無膽漏、膽道狹窄、膽泥或膽石形成，部分患者于超聲引導下穿刺引流。<br> 結果與結論：92例患者中超聲診斷肝移植後膽道併髮癥14例：膽漏5例；膽道狹窄4例，其中吻閤口狹窄2例，非吻閤口狹窄2例；4例膽泥形成；1例膽管結石。提示肝移植膽道併髮癥患者有特徵性超聲錶現，超聲對肝移植後膽道併髮癥的診斷有重要價值。
배경：간이식후담도병발증가인기이식후간실공，초성시이식간담도병발증적중요검사수단지일。목적：탐토초성대간이식후담도병발증적진단개치。<br> 방법：납입92례간이식환자，남81례，녀11례，년령21-67세；기중동충이체원위간이식90례，활체부분간이식2례；담도중건방식균위담관-담관단단문합。회고성분석간이식후상규검사급채색다보륵초성검사결과，착중분석환자유무담루、담도협착、담니혹담석형성，부분환자우초성인도하천자인류。<br> 결과여결론：92례환자중초성진단간이식후담도병발증14례：담루5례；담도협착4례，기중문합구협착2례，비문합구협착2례；4례담니형성；1례담관결석。제시간이식담도병발증환자유특정성초성표현，초성대간이식후담도병발증적진단유중요개치。
BACKGROUND:Biliary complications after liver transplantation can cause liver graft dysfunction. Ultrasound examination is one of important diagnostic methods of biliary complications after liver transplantation. <br> OBJECTIVE:To investigate the value of ultrasound in the diagnosis of biliary complications after liver transplantation. <br> METHODS:A total of 92 patients after liver transplantation, including 81 males, 11 females, aged 21-67 years;al ogenic orthotopic liver transplantation in 90 cases, partial living liver transplantation in 2 cases. Biliary reconstruction methods were end-to-end biliary anastomosis. Routine examination after liver transplantation and color Doppler ultrasound results were retrospectively analyzed. The inspection focused on whether common bile duct and intrahepatic bile duct had biliary leakage, biliary stenosis, biliary sludge or biliary calculus. Some patients underwent puncture and drainage under ultrasonographic guidance. <br> RESULTS AND CONCLUSION:In al the 92 patients, 14 cases were diagnosed ultrasonical y as biliary complications, including 5 cases of biliary leakage, 4 cases of biliary stenosis (2 cases of stomal stenosis and 2 cases of non-stomal stenosis), 4 cases of biliary sludge, and 1 case of biliary calculus. This study demonstrated that ultrasound characteristics could be easily recognized in liver transplantation patients with biliary complications. Ultrasound has very important clinical value in diagnosis of the biliary complications after liver transplantation.
