实时三维超声造影评估肝移植术后肝动脉并发症的初步探讨

张奥华; 徐净; 曹君妍; 吴涛; 吴莉莉; 廖梅; 郑荣琴; 任杰

doi:10.3969/j.issn.1674-7445.2014.06.005

实时三维超声造影评估肝移植术后肝动脉并发症的初步探讨

doi: 10.3969/j.issn.1674-7445.2014.06.005

510630 广州, 中山大学附属第三医院超声科

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
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- 被引次数: 0
出版历程
- 收稿日期: 2014-08-10
- 网络出版日期: 2021-01-19
- 刊出日期: 2014-11-15

Preliminary study of real-time three-dimensional contrast-enhanced ultrasound for evaluating hepatic artery complications after liver transplantation

Department of Ultrasonography, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China

More Information

Corresponding author: Ren Jie, Email：renjieguangzhou@126.com

摘要

摘要: 目的初步探讨实时三维超声造影(RT-3D-CEUS)用于评估肝移植术后肝动脉并发症的价值。方法对2014年4月至7月在中山大学附属第三医院行肝移植的18例受者进行29例次彩色多普勒超声(彩超)、二维灰阶超声造影(2D-CEUS)和RT-3D-CEUS检查。RT-3D-CEUS的成功率并评价其图像质量及诊断肝动脉并发症情况。结果 29例次检查中, RT-3D-CEUS检查成功率93%(27/29)。RT-3D-CEUS的图像质量评分, 3分14例次, 2分13例次, 1分2例次。采用RT 3D-CEUS诊断肝动脉狭窄6例, 其中4例为RT-3D-CEUS发现, 后经CTA证实;2例在检查前已经由CTA或DSA诊断肝动脉吻合口狭窄。结论 RT-3D-CEUS检查能获得直观、清晰的肝动脉图像, 用于评估肝移植术后肝动脉并发症具有临床应用价值。
- 肝移植 /
- 肝动脉并发症 /
- 超声造影 /
- 实时三维超声造影
Abstract: Objective To study preliminarily on the value of real-time three-dimensional contrast-enhanced ultrasound (RT-3D-CEUS) for the diagnosis of hepatic artery complications after liver transplantation. Methods From April to July in 2014, a total of 18 liver transplant recipients were examined 29 times, by color doppler ultrasound, contrast-enhanced ultrasound (2D-CEUS) and RT-3D-CEUS. The successful rate of RT-3D-CEUS was calculated. And the image quality and the diagnosis of hepatic artery complications were evaluated. Results In the 29 times of RT-3D-CEUS examination, the successful rate was 93%(27/29). The image quality of RT-3D-CEUS got 3 points for 14 times, 2 points for 13 times and 1 point for 2 times. In 6 cases who were diagnosed hepatic artery stenosis by RT-3D-CEUS, 4 cases were first diagnosed by RT-3D-CEUS and confirmed by CTA, and 2 cases were diagnosed by CTA or DSA before RT-3D-CEUS. Conclusions The RT-3D-CEUS examination can get intuitive and clear images, which has clinical application value in evaluating hepatic artery complications after liver transplantation.
- Liver transplantation /
- Hepatic artery complication /
- Contrast-enhanced ultrasound /
- Real-time three-dimensional contrast-enhanced ultrasound

HTML全文

图 1 1例肝动脉狭窄受者的RT-3D-CEUS和CTA图像

注：A图为RT-3D-CEUS检查发现肝动脉折叠处轻度狭窄(箭头处)；B图为CTA检查证实肝动脉狭窄

Figure 1. The RT-3D-CEUS and CTA images of a recipients with hepatic artery stenosis

下载: 全尺寸图片幻灯片

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