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1、第5卷第2期器官移植V01.5No.22014年3月OrganTransplantationMar.2014臨床研究·超聲造影在肝移植術(shù)后肝動脈血栓診斷中的應(yīng)用盧強(qiáng)鐘曉緋凌文武馬琳羅燕【摘要】目的評估超聲造影在肝移植術(shù)后肝動脈血栓(HAT)診斷中的價值。方法2004年1月至2012年8月在四川大學(xué)華西醫(yī)院肝移植中心行肝移植手術(shù)的患者810例?;颊咝g(shù)后均接受了彩色多普勒超聲(彩超)檢查,其中有58例懷疑HAT,從而繼續(xù)接受超聲造影檢查。以肝動脈血管造影、手術(shù)結(jié)果和臨床隨訪作為金標(biāo)準(zhǔn),計算超聲造影診斷HAT的敏感度、特異度、準(zhǔn)
2、確度、陽性預(yù)測值及陰性預(yù)測值。結(jié)果超聲造影診斷16例HAT,正確診斷15例,誤診1例,無漏診病例。超聲造影診斷HAT的敏感度、特異度、準(zhǔn)確度、陽性預(yù)測值及陰性預(yù)測值分別為1.0、0.977、0.983、0.938和1.0。本組患者HAT發(fā)生率和病死率分別為1.9%和53%。結(jié)論肝移植術(shù)后彩超檢查懷疑HAT時應(yīng)立即行超聲造影檢查,超聲造影診斷肝動脈通暢的患者可避免肝動脈血管造影檢查?!娟P(guān)鍵詞】肝移植;超聲;造影劑;肝動脈血栓;診斷【中圖分類號】R617【文獻(xiàn)標(biāo)志碼】A【文章編號】1674-7445(2014)02·0005—
3、06Applicationofcontrast·enhancedultrasoundindiagnosisofhepaticarterythrombosisafterlivertransplantationLuQiang,ZhongXiaofei,LingWenwu,MaLin,LuoYah.DepartmentofUltrasound,WestChinaHospital,SichuanUniversity,Chengdu610041,ChinaCorrespondingauthor:LuoYan,Email:luoyan
4、d@126,corn【Abstract】objectiveToassessthevalueofcontrast—enhancedultrasound(CEUS)inthediagnosisofhepaticarterythrombosis(HAT)afterlivertransplantation.MethodsFromJanuary2004toAugust2012,810patientswhounderwentlivertransplantationinLiverTransplantationCenterofWestCh
5、inaHospitalofSichuanUniversitywereenrolledinthisstudy.AlltherecipientsreceivedDopplerultrasoundscanningafteroperation.CEUSexaminationwasperformedin58patientswithsuspectedHAT.Basedonthegoldstandardsofhepaticarteryangiography,surgicaloutcomeandclinicalfollow—up,thes
6、ensitivity,specificity,accuracy,positivepredictivevalueandnegativepredictivevalueofCEUSindiagnosingHATwerecalculated.ResultsSixteencaseswerediagnosedwithHATbyCEUS,inwhich15wereconfirmed,onewasmisdiagnosedandnocasewasmissed.Thesensitivity,specificity,accuracy,posit
7、ivepredictivevalueandnegativepredictivevalueofCEUSindiagnosingHATwere1.0,0.977,0.983,0.938and1.0respectively.TheincidenceandmortalityofHATwere1.9%.53%respectivelyinthestudy.ConclusionsWhensuspectedwithHATbyDopplerultrasoundafterlivertransplantation,patientsshouldi
8、mmediatelyreceiveCEUS.PatientswithunobstructedhepaticarterydiagnosedbyCEUScanavoidreceivinghepaticarteryangiography.【Keywords】Livertransplantation;Uhras