摘要
目的:探讨磁共振血管造影(MRA)对肝移植术后血管解剖的显示及诊断并发症的价值. 方法:11例原位肝移植术后患者均用磁共振(MR)快速自选回波(TSE)序列及快速小角度激发梯度回波(FLASH)序列常规扫描、钆喷替酸葡甲胺(Gd-DTPA)动态增强3D MRA检查,分析各序列图像特点. 结果:术后血管正常4例.血管并发症7例:肝动脉过长迂曲2例,肝动脉供体端瘤样轻度扩张2例;门静脉轻度狭窄2 例,位于吻合口;肝静脉末梢分支杵状扩张2例;下腔静脉血栓1例. 结论:MRA可清楚显示肝移植术后血管解剖并准确、快速诊断肝移植术后出现的血管并发症,对指导临床诊断及治疗具有重要意义.
出处
《世界华人消化杂志》
CAS
北大核心
2005年第13期1630-1632,共3页
World Chinese Journal of Digestology
参考文献8
-
1Pandharipande PV, Lee VS, Morgan GR, Teperman LW, Krinsky GA, Rofsky NM, Roy MC, Weinreb JC. Vascular and extravascular complications of liver transplantation: comprehensive evaluation with three-dimensional contrast-enhanced volumetric MR imaging and MR cholangiopancreatography. Am J Roentgernol 2001:177:1101-1107
-
2Glockner JF, Forauer AR, Solomon H, Varma CR, Perman WH.Three-dimensional gadolinium-enhanced MR angiography of vascular complications after liver transplantation. Am J Roentgernol 2000:174:1447-1453
-
3Ito K, Siegelman ES, Stolpen AH, Mitchell DG. MR imaging of complications after liver transplantation. Am J Roentgernol 2000:175:1145-1149
-
4STafford-Johnson DB, Hamilton BH, Dong Q,Cho KJ, Turcotte JG, Fontana RJ,Prince MR. Vascular complications of liver transplantation: evaluation with gadolinium-enhanced MR angiography. Radiology 1998:207:153-160
-
5Nghiem HV, Tran K, Winter TC 3rd, Schmiedl UP, Althaus SJ,Patel NH, Freeny Pc. Imaging of complications in liver transplantation. Radiographics 1996;16:825-840
-
6Crossin JD, Muradali D, Wilson SR. US of liver transplants: normal and abnormal. Radiographics 2003;23:1093-1114
-
7Lee VS, Lavelle MT, Rofsky NM, Laub G, Thomasson DM,Krinsky GA, Weinreb JC. Hepatic MR imaging with a dynamic contrast-enhanced isotropic volumetric interpolated breath-hold examination: feasibility, reproducibility, and technical quality. Radiology 2000;215:365-372
-
8Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis. Radiology 1996;198:553-559
同被引文献11
-
1计勇,甄作均,苏树英,许卓明,陈焕伟.原位肝移植术后下腔静脉狭窄的原因及防治[J].岭南现代临床外科,2002,2(2):4-5. 被引量:3
-
2黄勇慧,杨建勇,李家平.CT灌注成像对终末期肝病肝移植后肝脏双期灌注量的监测[J].世界华人消化杂志,2005,13(13):1615-1617. 被引量:7
-
3李锐,张萍,郭燕丽,华兴,张晓航,薛雅芳,陈朝辉.实时超声造影在肝移植术后门静脉并发症诊断中的应用[J].中国超声医学杂志,2007,23(4):281-283. 被引量:11
-
4STARZL T E, MARCHIORO T L, VON KAULLA K N, et al. Homotransplantation of the liver in humans [J]. Surg Gynecol Obstet,1963,117:659 676.
-
5ALTHAUS SJ, PERKINS JD, SOLTES G, et al. Use of a Wallstent in successful treatment of IVC obstruction following liver transplantation [J]. Transplantation, 1996,61 : 669-672.
-
6ORONS PD, HARI AK, ZAJKO AB, et al. Thrombolysis and endovascular stent placement for inferior vena caval thrombosis in a liver transplant recipient [J]. Transplantation, 1997, 64: 1357-1361.
-
7WOZNEY P, ZAJKO A B, BRON K M, et al. Vascular complications after liver transplantation: a 5 years experience [J]. AJR, 1986,147:657-663.
-
8MARSHALL M M, BEESE R C, MUIESAN D J, et al. Assessment of portal venous system patency in the liver transplant candidate: A prospective study comparing Ultrasound, microbubble-- enhanced color Doppler Ultrasound with arteriography and surgery [J]. Clin Radio, 2002,57.- 377-383.
-
9李锐.超声检查在原位肝移植术后的应用(文献综述)[J].临床超声医学杂志,2000,2(1):36-38. 被引量:7
-
10唐缨,潘澄,王玉红,沈中阳.超声对原位肝移植术后肝动脉并发症诊断新认识[J].中国超声医学杂志,2002,18(5):338-341. 被引量:20
-
1郭友,陈曌,郑晓林.移植肝排斥反应血管和胆管改变的MR表现[J].放射学实践,2010,25(6):650-653. 被引量:1
-
2郭友,陈曌,郑晓林,王金林,何惜金,宁永见,张善譔,胡道予.肝移植术后血管和胆系并发症的MRI诊断价值[J].中华放射学杂志,2005,39(7):718-721. 被引量:8
-
3王文林,钟世镇.冠状动脉旁路术中动脉供体的研究进展[J].中国临床解剖学杂志,1999,17(4):376-377. 被引量:10
-
4张延亮,王兆华.介入化疗中对血管解剖变异的认识[J].中外医用放射技术,1998(5):43-44.
-
5陶在平.手术患者套管针穿刺技巧[J].现代医药卫生,2013,29(14):2202-2203. 被引量:1
-
6胡利荣,张宏霞,杨光钊,侯洪涛.MRI在髌骨软化症中的诊断价值[J].浙江创伤外科,2012,17(4):561-562. 被引量:7
-
7郭友,张雪林,陈曌.磁共振血管成像评价肝移植术后血管形态:11例分析(英文)[J].中国组织工程研究与临床康复,2007,11(21):4236-4239. 被引量:2
-
8王余,王海平,韩德昌,马梦华,孙正君.对比剂Gd-DTPA对肝外胆管癌磁共振扩散加权成像的影响[J].放射学实践,2012,27(4):421-424. 被引量:10
-
9廖志林,杨轶.四川大学华西医院成功救治罕见全下腔静脉至右心房肿瘤患者[J].老年健康,2015(3):6-6.
-
10陆克琴.1例Budcl-Chliari syndrome患者的护理[J].中国当代医药,2010,17(32):130-130.