器官移植
器官移植
기관이식
OGRAN TRANSPLANTATION
2015年
1期
37-40
,共4页
朱贤胜%王莎莎%程琦%王泓%范丽%凌茵
硃賢勝%王莎莎%程琦%王泓%範麗%凌茵
주현성%왕사사%정기%왕홍%범려%릉인
肝移植%脾动脉窃血综合征%超声造影
肝移植%脾動脈竊血綜閤徵%超聲造影
간이식%비동맥절혈종합정%초성조영
Liver transplantation%Splenic artery steal syndrome%Contrast-enhanced ultrasound
目的:探讨超声诊断肝移植术后脾动脉窃血综合征(SASS)的价值。方法通过对肝移植术后10例并发SASS患者(研究组)及术后肝功能恢复正常的8例患者(对照组)进行常规超声及超声造影检查,总结SASS的超声表现。将研究组患者的数字减影血管造影术(DSA)检查结果与超声造影进行对比。结果研究组二维超声见肝脏回声正常或肝内见多发细小坏死灶,彩色多普勒血流显像(CDFI)可见肝动脉内血流信号稀少或呈星点状,超声造影见移植肝肝动脉内造影剂增强信号微弱。肝动脉内径偏细,脾动脉内径明显增粗。超声造影与DSA的诊断结果一致。结论常规超声及超声造影应常规作为肝移植术后的可疑移植肝血管系统异常的无创检查手段,具有较高的应用价值。
目的:探討超聲診斷肝移植術後脾動脈竊血綜閤徵(SASS)的價值。方法通過對肝移植術後10例併髮SASS患者(研究組)及術後肝功能恢複正常的8例患者(對照組)進行常規超聲及超聲造影檢查,總結SASS的超聲錶現。將研究組患者的數字減影血管造影術(DSA)檢查結果與超聲造影進行對比。結果研究組二維超聲見肝髒迴聲正常或肝內見多髮細小壞死竈,綵色多普勒血流顯像(CDFI)可見肝動脈內血流信號稀少或呈星點狀,超聲造影見移植肝肝動脈內造影劑增彊信號微弱。肝動脈內徑偏細,脾動脈內徑明顯增粗。超聲造影與DSA的診斷結果一緻。結論常規超聲及超聲造影應常規作為肝移植術後的可疑移植肝血管繫統異常的無創檢查手段,具有較高的應用價值。
목적:탐토초성진단간이식술후비동맥절혈종합정(SASS)적개치。방법통과대간이식술후10례병발SASS환자(연구조)급술후간공능회복정상적8례환자(대조조)진행상규초성급초성조영검사,총결SASS적초성표현。장연구조환자적수자감영혈관조영술(DSA)검사결과여초성조영진행대비。결과연구조이유초성견간장회성정상혹간내견다발세소배사조,채색다보륵혈류현상(CDFI)가견간동맥내혈류신호희소혹정성점상,초성조영견이식간간동맥내조영제증강신호미약。간동맥내경편세,비동맥내경명현증조。초성조영여DSA적진단결과일치。결론상규초성급초성조영응상규작위간이식술후적가의이식간혈관계통이상적무창검사수단,구유교고적응용개치。
Objective To evaluate the value of ultrasonography in the diagnosis of splenic artery steal syndrome (SASS ) after liver transplantation. Methods Routine ultrasonography and contrast enhanced ultrasound (CEUS)were performed in 10 cases with SASS (SASS group)and 8 cases of control patients with normal liver function after liver transplantation. The ultrasonographic findings of SASS were summed up. The diagnostic efficacy of CEUS was compared with that of digital subtraction angiography (DSA). Results In the SASS group,2D ultrasonography showed that the hepatic parenchyma was normal or there were some tiny necrosis foci in it,and color Doppler flow imaging (CDFI)showed that the blood flow signal of the hepatic artery was sparse or punctiform. CEUS showed the delayed and weak contrast-enhanced signals in hepatic artery after transplantation. The internal diameter of the splenic artery increased while that of the hepatic artery decreased. There was no significant difference between CEUS and DSA. Conclusions The routine ultrasonography and CEUS have a high value on the detection of suspected abnormal vascular system of transplant liver after liver transplantation as the noninvasive diagnostic tools.