| 刘慧君,杜湘珂,李河北,武靖,张承志.肝移植术后胆道合并症的多层螺旋CT诊断[J].中国医学影像技术,2002,18(5):412~413 |
| 肝移植术后胆道合并症的多层螺旋CT诊断 |
| Diagnosis of Biliary Complication After Orthotopic Liver Transplantation with Multi-Slice Helical CT |
| 投稿时间：2002-02-15 |
| DOI： |
| 中文关键词: 原位肝移植 胆道合并症 多层螺旋CT |
| 英文关键词:Orthotopic liver transplantation Biliary complication Helical CT |
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| 中文摘要: |
| 目的 探讨多层螺旋CT在原位肝移植术后胆道合并症的诊断价值。方法 对28例肝移植术后病人多层螺旋CT检查进行回顾性分析。结果 9例病人术后发生胆道合并症,占各种腹部合并症的首位。其中吻合口狭窄2例(7.1%),胆管漏6例(21%),胆管结石3例(11%),肝内胆汁瘤3例(11%),4例病人多种胆道合并症同时存在。结论 多层螺旋CT多期增强扫描能够全面的显示肝移植术后胆道合并症的各种表现,但对胆管漏,胆管狭窄程度的判定有一定的局限性,应配合"T"管造影。 |
| 英文摘要: |
| Objective To assesse the value of multi-slice helical CT in the diagnosis of biliary complications after orthotopic liver transplantation. Methods Multi-slice helical CT(GE Lightspeed) of 28 patients undergoing liver transplantation were retrospectively reviewed. Results 9 patients developed biliary complications,which ,of all kinds of abdominal complications,rank first.Among oosunjects,2(7.1%) patients had biliary stenosis,6(21%) biliary duct leakage,3(11%) biliary calculus,3(11%) intrahepatic biloma,and several complications co-existed in 4 patients. Conclusion Multiphase scanning with multi-slice helical CT can display fully varied biliary complications after orthotopic liver transplantation..But there is limitation in detecting biliary duct leakage and determining the extent of biliary stenosis.so helical CT should combined with T-cholangiography. |
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