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肝动脉三维灰阶超声造影用于诊断肝移植术后肝动脉并发症的价值

童歌 郑博文 曹君妍 吴涛 廖梅 吕艳 吴莉莉 任杰

童歌, 郑博文, 曹君妍, 等. 肝动脉三维灰阶超声造影用于诊断肝移植术后肝动脉并发症的价值[J]. 器官移植, 2014, 5(3): 174-177, 190. doi: 10.3969/j.issn.1674-7445.2014.03.010
引用本文: 童歌, 郑博文, 曹君妍, 等. 肝动脉三维灰阶超声造影用于诊断肝移植术后肝动脉并发症的价值[J]. 器官移植, 2014, 5(3): 174-177, 190. doi: 10.3969/j.issn.1674-7445.2014.03.010
Tong Ge, Zheng Bowen, Cao Junyan, et al. Value of three-dimensional contrast-enhanced ultrasound in diagnosing hepatic artery complications after liver transplantation[J]. ORGAN TRANSPLANTATION, 2014, 5(3): 174-177, 190. doi: 10.3969/j.issn.1674-7445.2014.03.010
Citation: Tong Ge, Zheng Bowen, Cao Junyan, et al. Value of three-dimensional contrast-enhanced ultrasound in diagnosing hepatic artery complications after liver transplantation[J]. ORGAN TRANSPLANTATION, 2014, 5(3): 174-177, 190. doi: 10.3969/j.issn.1674-7445.2014.03.010

肝动脉三维灰阶超声造影用于诊断肝移植术后肝动脉并发症的价值

doi: 10.3969/j.issn.1674-7445.2014.03.010
基金项目: 

国家自然科学基金 81371554

详细信息
    通讯作者:

    任杰, Email:renjieguangzhou@126.com

  • 中图分类号: R617

Value of three-dimensional contrast-enhanced ultrasound in diagnosing hepatic artery complications after liver transplantation

  • 摘要:   目的  探讨肝动脉三维灰阶超声造影(3D-CEUS)用于诊断肝移植术后肝动脉并发症的价值。  方法  对26例肝移植供体或怀疑肝动脉并发症的肝移植受体进行常规彩超、二维灰阶超声造影(2D-CEUS)和3D-CEUS检查。评价3D-CEUS的图像重建成功率及重建的肝动脉三维图像质量。  结果  26例患者3D-CEUS可显示21条肝动脉, 图像重建成功率81%。用3D-CEUS重建的肝动脉三维图血管连续性好, 可显示冠状面Z轴上的、细小或迂曲的分支或属支, 能帮助判定肝动脉段分支起源, 能明确地显示血管的空间关系。  结论  3D-CEUS检查具有三维图像直观、立体、清晰的特点, 在诊断肝移植术后肝动脉并发症中具有临床应用价值。

     

  • 图  1  1例供者的4种影像学检查的肝动脉表现

    注: A图所示为正常肝固有动脉分支重建图,肝左动脉(left hepatic artery, LHA)、肝右动脉(right hepatic artery, RHA)及Ⅳ段(S4)动脉的连续性、位置关系清晰可见,可见Ⅳ段肝动脉由肝固有动脉起源,同一患者的二维图像(B图)难以准确判断各血管间的位置关系,未能显示Ⅳ段肝动脉起源,肝内分支仅呈节段显示。C图和D图分别为同一患者的CTA和DSA图,以DSA为对照,可以发现3D-CEUS重建图甚至比CTA显示的肝内分支更丰富、显示的血管段更长

    Figure  1.  Image findings of hepatic artery of a donor by 4 kinds of imageological examination

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出版历程
  • 收稿日期:  2014-02-24
  • 网络出版日期:  2021-01-19
  • 刊出日期:  2014-05-15

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