摘要
目的 评价多层螺旋 CT(MSCT)在肝移植手术前后的临床应用价值。方法 7 例肝移植患者(男 6 例,女 1例,平均年龄45岁),手术前后1周内均行MSCT肝脏平扫、动态多期增强扫描、3D血管重建、体积测量,CT结果与手术进行对照。结果 肝硬化7例,伴有严重肝萎缩2例、小肝癌 4 例。3D血管成像:100%显示肝总动脉、门静脉、肝静脉起源、长度及主分支;1例肝动脉变异起自肠系膜上动脉,肝总动脉狭窄1例,门静脉狭窄1例,门静脉主干血栓 1 例,移植后血管并发症1例。术前、术后CT结果均与术中相符。结论 MSCT在肝移植手术前后是一种可行性检查方法,能准确、客观反映肝实质及肝血管情况。
Objective To assess the clinical value of multi-slice CT in the preoperative and postoperative of liver transplantation.Methods Seven patients (6 males, 1 female, mean age 45 years old) performed MSCT multi-phase scanning before and after liver transplantation, multislice CT angiography with volume rendering. CT findings were compared with operation.Results There were 7 hepatocirrhosis, among them 2 cases with serious liver atrophy and 4 with hepatocellular carcinoma, three-dimensional volume rendering combined with MIP and MPR depicted 100% hepatic arteries, hepatic vein, portal vein and main branches. CTA showed 1 case with variation of hepatic artery, 1 case with hepatic artery stenosis and 1 case with portal vein stenosis and 1 case with portal vein thrombosis. After transplantation there was 1 case with hepatic artery complication and haematoma. Conclution Multi-slice spiral CT angiography provided comprehensive parenchymal, vascular, and volumetric evaluation, and thus is a feasible diagnostic tool in pre- and postoperative liver transplantation.
出处
《中国医学影像技术》
CSCD
北大核心
2005年第3期383-385,共3页
Chinese Journal of Medical Imaging Technology
关键词
体层摄影术
X线计算机
血管造影
肝移植
Tomography, X-ray computed
Angiography
Liver transplantation
