二维超声对肝移植术后胆道并发症的诊断价值.pdfVIP

Radi01 2007，Vol22，No．3 放射学实践2007年3月第22卷第3期Practice，Mar ·超声影像学· 二维超声对肝移植术后胆道并发症的诊断价值 刘景云，黄道中，张青萍，覃华，朱霞 【摘要】目的：探讨二维超声对肝移植术后胆道并发症的诊断价值。方法：回顾性分析48例肝移植术后胆道并发症 患者的二维超声图像，并与其它影像学检查结果相对比。结果：超声检出胆漏13例，胆管扩张36例，胆汁淤积16例，胆 现为胆管扩张，后扩张胆管内出现胆汁淤积，继而胆泥形成，最后发展至胆管结石。结论：超声在肝移植术后胆道并发症 的诊断中有重要应用价值，是首选检查方法。 【关键词】超声检查，多普勒，彩色；肝移植；胆道；手术后并发症 【中图分类号】R445．1；R575．7【文献标识码】A【文章编号】1000—0313(2007)03—0309一03 of弘mode in of anerLiVer LIU Value the Ultr硒。舯graphyDiagll循isBiliaryComplicationsTransplantationJin驴yun， HUANG of Medical Dao—zhong，ZHANGQing—ping，eta1．DepartmentRadi0109y，Ton西iHospital，Ton鲥iCollege，Hua— ofScienceand 430030 zhongUniversity Technology，Wuhan thevalueofB。mode inthe of af— 【Abstract】objective：Toinvestigate ultrasonographydiagnosisbiliarycomplications terliver of48 with tractdisordersafterliver transplantation．1蛆ethods：Theultrasonogramspatientscomplicatedbiliary were studied．The resultsof were with transplantationretrospectivelydiagnostic ultrasonographyrespectivelycompared thoseoftheERCPorMRCPor tractcontrastexaminationT exami— biliary throughtube．Results：B—modeultrasonographic nationsdetectedtractleaksin13 ofthe ductsin36 in16cases，bile b订iary cases，dilatationbiliary cases，cholestasis sludge formationin10casesandcholelithiasisin13cases．In the occurredwithinamonth 37．8％ofcases，thecomplications post— in the wereshownwithinthreemonthsafterl