超聲造影在肝移植術(shù)后肝動脈血栓診斷中的應(yīng)用.pdf

《超聲造影在肝移植術(shù)后肝動脈血栓診斷中的應(yīng)用.pdf》由會員上傳分享，免費在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫。

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