南方医科大学学报

南方医科大学学报 ›› 2006, Vol. 26 ›› Issue (05): 651-653.

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肝移植术后中远期并发症的磁共振评价

蒋志强； 许乙凯；   

  1. 南方医科大学南方医院影像中心； 南方医科大学南方医院影像中心 广东广州510515； 广东广州510515；
  • 出版日期:2006-05-20 发布日期:2006-05-20

Magnetic resonance imaging for diagnosis of mid-and long-term complication after liver transplantation

JIANG ZHi-qiang,XU Yi-kai Center of Diagnostic Imaging,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China   

  1. 南方医科大学南方医院影像中心； 南方医科大学南方医院影像中心 广东广州510515； 广东广州510515；
  • Online:2006-05-20 Published:2006-05-20

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摘要： 目的研究MRI多种成像技术对肝移植术后中远期情况监测的价值。方法收集本2003年2月～2005年5月有完整临床资料的原位肝移植术后病例21例,采用的MRI技术分别为FLASHT1WI、FSET2WI、T2WI+FS、Gd-DTPA动态增强扫描、磁共振胰胆管成像(MRCP)和动态Gd-DTPA增强3DFISPMRA,分析其表现。结果21例中,胆道并发症21例,肝动脉及静脉系统并发症各8例,肝癌复发5例,移植失败4例。结论多种MRI技术联合应用,可以有效地监测肝移植术后中远期并发症情况,对指导临床治疗具有重要价值。 

Abstract: Objective To assess the value of magnetic resonance imaging(MRI)in mid-and long-term complication monitoring after liver transplantation.Methods Twenty-one recipients receiving orthotropic liver transplantation between Feb 2003 and May 2005 were enrolled in this study.FLASH T1-weighted,T2-weighted fast spin echo,T2-weighted fat suppression,dynamic gadolinium-enhanced,MR cholangiopancreatography(MRCP)and three-dimensional dynamic gadolinium-enhanced FISP MRA images were obtained.Results Of the 21 patients,bile duct complications were detected in all cases and liver arterial and venous complications in 8 cases.Liver cancer relapse occurred in 5 cases and allograft failure in 4.Conclusion MR imaging allows effective monitoring of mid-and long-term complications of liver transplantation,which provides valuable clues for their clinical treatment. 

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