| 李彩英,刘怀军,彰俊杰,田建明,李如迅,许茜.多层螺旋CT血管成像在肝移植前后的诊断价值[J].中国医学影像技术,2005,21(3):383~385 |
| 多层螺旋CT血管成像在肝移植前后的诊断价值 |
| Multi slice spiral CT angiography before and after liver transplantation |
| 投稿时间：2004-11-05 修订日期：2004-12-21 |
| DOI： |
| 中文关键词: 体层摄影术,X线计算机 血管造影 肝移植 |
| 英文关键词:Tomography, X ray computed Angiography Liver transplantation |
| 基金项目: |
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| 中文摘要: |
| 目的 评价多层螺旋CT（MSCT）在肝移植手术前后的临床应用价值。方法 7例肝移植患者（男6例，女1例，平均年龄45岁），手术前后1周内均行MSCT肝脏平扫、动态多期增强扫描、3D血管重建、体积测量，CT结果与手术进行对照。结果 肝硬化7例，伴有严重肝萎缩2例、小肝癌4例。3D血管成像：100%显示肝总动脉、门静脉、肝静脉起源、长度及主分支；1例肝动脉变异起自肠系膜上动脉，肝总动脉狭窄1例，门静脉狭窄1例，门静脉主干血栓1例，移植后血管并发症1例。术前、术后CT结 |
| 英文摘要: |
| ObjectiveTo assess the clinical value of multi slice CT in the preoperative and postoperative of liver transplantation.MethodsSeven patients(6 males, 1 female, mean age 45 years old) performed MSCT multi phase scanning before and after liver transplantation, multislice CT angiography with volume rendering. CT findings were compared with operation.ResultsThere were 7 hepatocirrhosis, among them 2 cases with serious liver atrophy and 4 with hepatocellular carcinoma, three dimensional volume rendering combined with MIP and MPR depicted 100% hepatic arteries, hepatic vein, portal vein and main branches. CTA showed 1 case with variation of hepatic artery, 1 case with hepatic artery stenosis and 1 case with portal vein stenosis and 1 case with portal vein thrombosis. After transplantation there was 1 case with hepatic artery complication and haematoma. ConclutionMulti slice spiral CT angiography provided comprehensive parenchymal, vascular, and volumetric evaluation, and thus is a feasible diagnostic tool in pre and postoperative liver transplantation. |
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