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超声造影在儿童肝移植术后肝动脉血栓中的临床应用价值

潘宜鹏, 高农, 李威, 等. 超声造影在儿童肝移植术后肝动脉血栓中的临床应用价值[J]. 器官移植, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018
引用本文: 潘宜鹏, 高农, 李威, 等. 超声造影在儿童肝移植术后肝动脉血栓中的临床应用价值[J]. 器官移植, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018
Pan Yipeng, Gao Nong, Li Wei, et al. Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018
Citation: Pan Yipeng, Gao Nong, Li Wei, et al. Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation[J]. ORGAN TRANSPLANTATION, 2022, 13(3): 399-403. doi: 10.3969/j.issn.1674-7445.2022.03.018

超声造影在儿童肝移植术后肝动脉血栓中的临床应用价值

doi: 10.3969/j.issn.1674-7445.2022.03.018
基金项目: 

北京市自然科学基金 7212139

海南省自然科学基金 821MS0821

海南省重大科技计划项目 ZDKJ2019009

详细信息
    作者简介:
    通讯作者:

    任秀昀,女,1970年生,医学博士,主任医师,硕士研究生导师,研究方向为器官移植及介入超声,Email:rforestcloud@sina.com

  • 中图分类号: R617, R445

Clinical application value of contrast-enhanced ultrasound in hepatic artery thrombosis after pediatric liver transplantation

More Information
  • 摘要:   目的  探讨超声造影(CEUS)在儿童肝移植术后肝动脉血栓(HAT)中的临床应用价值。  方法  回顾性分析126例儿童肝移植受者的临床资料,总结儿童肝移植术后HAT发生情况,比较HAT的彩色多普勒超声和CEUS表现。  结果  彩色多普勒超声高度怀疑HAT者17例,CEUS诊断HAT者9例,其中CEUS提示HAT的9例受者均经CT血管造影(CTA)或手术证实诊断。HAT的CEUS表现为肝动脉在动脉期乃至门静脉期在门静脉周围未见显影,4例HAT患者发生肝细胞坏死,CEUS表现为肝内造影剂无灌注。  结论  CEUS在儿童肝移植术后HAT的诊断中有较高的临床应用价值,与传统CTA相比优势明显,可以在临床广泛推广。

     

  • 图  1  HAT的彩色多普勒超声和CEUS表现

    注:A图示彩色多普勒超声下门静脉(白色箭头所示)周围未见动脉血流信号;B图示进行CEUS后门静脉可见造影剂灌注(白色箭头所示),门静脉周围未见肝动脉造影剂灌注;C图为灰阶超声示肝内低回声区,范围6.95 cm×1.74 cm;D图为CEUS示肝内造影剂无灌注坏死区域(白色箭头所示)。

    Figure  1.  Color Doppler ultrasound and CEUS findings of HAT

    表  1  HAT确诊患者基本资料

    Table  1.   Basic information of patients diagnosed with HAT

    例序 性别 年龄(月) 术前诊断 术后发生时间(d) CEUS诊断结果 确诊方式
    1 16 胆道闭锁 30 HAT CTA
    2 12 胆道闭锁 4 HAT CTA
    3 46 胆道闭锁 1 HAT CTA
    4 6 Caroli病 5 HAT CTA
    5 5 胆道闭锁 1 HAT 手术
    6 6 胆道闭锁 4 HAT 手术
    7 15 胆道闭锁 20 HAT CTA
    8 9 胆道闭锁 3 HAT 手术
    9 6 胆道闭锁 2 HAT 手术
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  • 收稿日期:  2022-01-29
  • 网络出版日期:  2022-04-29
  • 刊出日期:  2022-05-15

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