肝移植术后胆道并发症的超声诊断进展

任杰; 郑荣琴

doi:10.3969/j.issn.1674-7445.2016.03.001

肝移植术后胆道并发症的超声诊断进展

doi: 10.3969/j.issn.1674-7445.2016.03.001

任杰,
郑荣琴^,

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

国家自然科学基金 81250358

详细信息

作者简介:
任杰，中山大学附属第三医院超声科副主任，主任医师，博士生研究生导师。兼任广东省医学会超声医学分会第七届委员会青年委员会副主任委员、中国医学影像技术学会腹部分会常务委员、中国超声医学工程学会肌肉骨骼分会委员。擅长腹部及浅表器官的超声诊断及介入治疗，尤其在肝移植、肌肉骨骼、甲状腺方面进行了较为深入的研究。以第一作者或通讯作者发表论著31篇，主持省部级课题7项，包括两项国家自然科学基金，主编专著1本，参与编写5本专著

通讯作者:
郑荣琴，Email：zssyzrq@163.com

中图分类号: 1674-7445(2016)03-0001-04
计量
- 文章访问数: 103
- HTML全文浏览量: 39
- PDF下载量: 6
- 被引次数: 0
出版历程
- 收稿日期: 2016-03-11
- 网络出版日期: 2021-01-19
- 刊出日期: 2016-05-15

Progress on the ultrasonic diagnosis of biliary complications after liver transplantation

摘要

摘要: 胆道并发症是目前影响肝移植受体长期存活率和生活质量的最主要因素之一。超声是移植术后首选的影像学方法。本文介绍了肝移植术后正常胆道系统超声表现，并对最常见的胆道并发症包括胆道狭窄、胆结石或胆泥、胆瘘等的超声诊断进展进行简要回顾。
- 肝移植 /
- 胆道并发症 /
- 超声 /
- 胆道狭窄 /
- 胆结石 /
- 胆瘘

HTML全文

参考文献(18)

[1]	Memeo R, Piardi T, Sangiuolo F, et al. Management of biliary complications after liver transplantation[J]. World J Hepatol, 2015, 7(29):2890-2895. doi: 10.4254/wjh.v7.i29.2890
[2]	Choi HJ, Moon JH, Lee YN. Advanced imaging technology in biliary tract diseases:narrow-band imaging of the bile duct[J]. Clin Endosc, 2015, 48(6):498-502. doi: 10.5946/ce.2015.48.6.498
[3]	毛永江, 郑荣琴, 任杰, 等.超声评价肝移植术后不同时期胆道内径变化[J].中华超声影像学杂志, 2008, 17(6):547-548. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx200806024 Mao YJ, Zheng RQ, Ren J, et al. Ultrasonic evaluation on changes of different period inner diameter of the bile duct after liver transplantation[J]. Chin J Ultrason, 2008, 17(6):547-548. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx200806024
[4]	曾婕, 任杰, 郑荣琴, 等.超声检测肝门部胆管在鉴别肝移植术后胆道狭窄类型中的价值[J].中华超声影像学杂志, 2012, 21(5):394-396. Zeng J, Ren J, Zheng RQ, et al. Identification of different types of biliary strictures after orthotopic liver transplantation by hilar bile duct using ultrasonography[J]. Chin J Ultrason, 2012, 21(5):394-396.
[5]	Hüsing A, Cicinnati VR, Beckebaum S, et al. Endoscopic ultrasound: valuable tool for diagnosis of biliary complications in liver transplant recipients?[J]. Surg Endosc, 2015, 29(6):1433-1438. doi: 10.1007/s00464-014-3820-3
[6]	Camacho JC, Coursey-Moreno C, Telleria JC, et al. Nonvascular post-liver transplantation complications: from US screening to cross-sectional and interventional imaging[J]. Radiographics, 2015, 35(1):87-104. doi: 10.1148/rg.351130023
[7]	Hussaini SH, Sheridan MB, Davies M. The predictive value of transabdominal ultrasonography in the diagnosis of biliary tract complications after orthotopic liver transplantation[J]. Gut, 1999, 45(6):900-903. doi: 10.1136/gut.45.6.900
[8]	毛永江, 郑荣琴, 任杰, 等.肝移植术后胆管狭窄的超声表现[J].中华超声影像学杂志, 2008, 17(12):1045-1047. http://www.cqvip.com/QK/97666X/200812/29096873.html Mao YJ, Zheng RQ, Ren J, et al. Ultrasonographic characteristics of biliary stricture after orthotopic liver transplantation[J]. Chin J Ultrason, 2008, 17(12):1045-1047. http://www.cqvip.com/QK/97666X/200812/29096873.html
[9]	任杰, 廖梅, 王平, 等.超声造影检测移植肝肝门部胆管微循环的可行性研究[J].中华超声影像学杂志, 2010, 19(7):580-582. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx201007008 Ren J, Liao M, Wang P, et al. Feasibility of evaluating the microcirculation of hilar bile duct wall of liver grafts with contrast-enhanced sonography[J]. Chin J Ultrason, 2010, 19(7):580-582. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx201007008
[10]	Ren J, Lu MD, Zheng RQ, et al. Evaluation of the microcirculatory disturbance of biliary ischemia after liver transplantation with contrast-enhanced ultrasound: preliminary experience[J]. Liver Transpl, 2009, 15(12):1703-1708. doi: 10.1002/lt.v15:12
[11]	Ren J, Zheng BW, Wang P, et al. Revealing impaired blood supply to the bile ducts on contrast-enhanced ultrasound: a novel diagnosis method to ischemic-type biliary lesions after orthotropic liver transplantation[J]. Ultrasound Med Biol, 2013, 39(5):753-760. doi: 10.1016/j.ultrasmedbio.2012.12.004
[12]	任杰, 许尔蛟, 廖梅, 等.移植肝胆道并发症与正常胆道的超声造影增强特点比较[J].中华超声影像学杂志, 2012, 21(11):961-964. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx201211013 Ren J, Xu EJ, Liao M, et al. Enhancement patterns of hilar bile duct wall of ischemic-type biliary lesion on contrast-enhanced ultrasound[J]. Chin J Ultrason, 2012, 21(11):961-964. http://med.wanfangdata.com.cn/Paper/Detail/PeriodicalPaper_zhcsyx201211013
[13]	任杰, 郑博文, 郑荣琴, 等.超声造影检测胆道微循环受损的实验研究[J].中国超声医学杂志, 2013, 29(9):840-843. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY201309024.htm Ren J, Zheng BW, Zheng RQ, et al. Detection of biliary ischemia by contrast-enhanced ultrasonography[J]. Chin J Ultrasound Med, 2013, 29(9):840-843. http://www.cnki.com.cn/Article/CJFDTOTAL-ZGCY201309024.htm
[14]	任杰, 郑博文, 郑荣琴, 等.普通超声及超声造影检测兔胆道缺血模型胆道异常的可行性研究[J].器官移植, 2013, 4(2):102-106. http://www.organtranspl.com/browse/detail/qkid/63/id/312.html Ren J, Zheng BW, Zheng RQ, et al. Feasibility of accessing the abnormal bile duct in biliary ischemia of rabbit model by using conventional and contrast-enhanced ultrasonography[J]. Organ Transplant, 2013, 4(2):102-106. http://www.organtranspl.com/browse/detail/qkid/63/id/312.html
[15]	Zhu XD, Shen ZY, Chen XG, et al. Pathotyping and clinical manifestations of biliary cast syndrome in patients after an orthotopic liver transplant[J]. Exp Clin Transplant, 2013, 11(2):142-149. doi: 10.6002/ect
[16]	Giesbrandt KJ, Bulatao IG, Keaveny AP, et al. Radiologic characterization of ischemic cholangiopathy in donation-after-cardiac-death liver transplants and correlation with clinical outcomes[J]. AJR Am J Roentgenol, 2015, 205(5):976-984. doi: 10.2214/AJR.14.13383
[17]	吕艳, 廖梅, 曹君妍, 等.肝移植术后胆泥超声声像图表现及其与预后相关性的初步探讨[J].器官移植, 2014, 5(3):178-181. http://www.cnki.com.cn/Article/CJFDTOTAL-QGYZ201403015.htm Lyu Y, Liao M, Cao JY, et al. Preliminary discussion of ultrasonograms of biliary sludge and its relationship with the prognosis of patients after liver transplantation[J]. Organ Transplant, 2014, 5(3):178-181. http://www.cnki.com.cn/Article/CJFDTOTAL-QGYZ201403015.htm
[18]	Mao R, Xu EJ, Li K, et al. Usefulness of contrast-enhanced ultrasound in the diagnosis of biliary leakage following T-tube removal[J]. J Clin Ultrasound, 2010, 38(1):38-40. doi: 10.1002/jcu.20622/references