王宏,穆学涛,钟心,董悦.肝移植术后胆道并发症的MRCP诊断[J].中国医学影像技术,2005,21(11):1717~1719
肝移植术后胆道并发症的MRCP诊断
MR cholangiopancreatography in the evaluation of biliary tract complications after orthotopic liver transplantation
投稿时间:2005-06-11  修订日期:2005-08-30
DOI:
中文关键词:  肝移植  胆道  并发症  磁共振胰胆管成像
英文关键词:Liver transplantation  Biliary  Complication  Magnetic resonance cholangiopancreatography
基金项目:
作者单位E-mail
王宏 武警总医院磁共振科,北京 100039 muxuetao091@sohu.com 
穆学涛 武警总医院磁共振科,北京 100039  
钟心 武警总医院磁共振科,北京 100039  
董悦 武警总医院磁共振科,北京 100039  
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中文摘要:
      目的 分析原位肝移植术后胆道并发症的磁共振胰胆管成像(MRCP)表现。方法 对21例原位肝移植术后有临床症状或生化异常疑胆道并发症的患者行MRCP检查,分析其MRCP表现。所有病人均经直接胆道造影、术后病理或随诊观察确诊。结果 胆道并发症发生率为61.9%(13/21)。其中吻合口狭窄7例,非吻合口狭窄2例,胆道结石2例,胆道淤泥1例,供体-受体胆总管不匹配1例。结论 MRCP可以明确肝移植术后的胆道并发症,对肝移植术后胆系的评价具有重要的价值。
英文摘要:
      Objective To analyze MR cholangiopancreatography (MRCP) findings of biliary tract complications after orthotopic liver transplantation (OLT). Methods MRCP findings of 21 patients who received OLT were analyzed. All patients were presented with clinical and/or biochemical suspicion of biliary tract complications. Diagnostic confirmation was obtained with direct cholangiopancreatography, surgery and histological study or clinical follow-up. Results The complication incidence of biliary tract after OLT was 61.9% (13/21), which were 7 anastomosis strictures, 2 nonanastomosis strictures, 2 biliary stones, 1 biliary sludge, 1 donor-to-recipient common bile disproportion. Conclusion MRCP can detect biliary tract complications after OLT. It is very valuable in assessing the condition of the biliary tree.
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