• 四川大學(xué)華西醫(yī)院放射科（成都610041）;

目的  對評價原位肝移植（orthotopic liver transplantation，OLT）術(shù)后并發(fā)癥的影像學(xué)檢查方法進行評價。
方法  對OLT術(shù)后并發(fā)癥的影像學(xué)檢查結(jié)果進行分析，并對各類并發(fā)癥的相關(guān)影像學(xué)表現(xiàn)加以總結(jié)。
結(jié)果  B超可用作OLT術(shù)后并發(fā)癥的早期篩查； 彩色多譜勒超聲能早期發(fā)現(xiàn)血管性并發(fā)癥； 螺旋CT和MRI對術(shù)后血管性和（或）膽管性并發(fā)癥、肝實質(zhì)本身異常以及肝外轉(zhuǎn)移性并發(fā)癥有很高的診斷價值； 對排斥反應(yīng)，目前影像學(xué)檢查還無特征性表現(xiàn)。
結(jié)論  影像學(xué)檢查（特別是超聲、螺旋CT和MRI）在OLT術(shù)后各類并發(fā)癥的診斷中具有重要的作用。

引用本文： 李文濤,宋彬. 原位肝移植術(shù)后并發(fā)癥的影像學(xué)評價. 中國普外基礎(chǔ)與臨床雜志, 2004, 11(1): 76-81. doi: 復(fù)制

1. 程燕， 印隆林， 宋彬. 肝移植術(shù)前影像學(xué)檢查綜合評價 [J].中國普外基礎(chǔ)與臨床雜志, 2003; 10(4)∶397.
2. GarciaCriado A, Gilabert R, Bargallo X, et al. Radiology in liver transplantation [J]. Semin Ultrasound CT MR, 2002; 23(1)∶114.
3. Katyal S, Oliver JH 3rd, Buck DG, et al. Detection of vascular complications after liver transplantation: early experience in multislice CT angiography with volume rendering [J]. AJR Am J Roentgenol, 2000; 175(6)∶1735.
4. Nghiem HV. Imaging of hepatic transplantation [J]. Radiol Clin North Am, 1998; 36(2)∶429.
5. Nghiem HV, Tran K, Winter TC 3rd, et al. Imaging of complications in liver transplantation [J]. Radiographics, 1996; 16(4)∶825.
6. Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis [J]. Radiology, 1996; 198(2)∶553.
7. Quiroga S, Sebastia MC, Margarit C, et al. Complications of orthotopic liver transplantation: spectrum of findings with helical CT [J]. Radiographics, 2001; 21(5)∶1085.
8. Sugimoto H, Kaneko T, Marui Y, et al. Reversal of portal flow after acute rejection in livingdonor liver transplantation [J]. J Hepatobiliary Pancreat Surg, 2001; 8(6)∶573.
9. Piolanti M, Fabbro E, Pascali E, et al. CT angiography for the evaluation of adult orthotopic liver transplantation arterial complications [J]. Radiol Med (Torino), 2001; 102(5-6)∶348.
10. Boraschi P, Braccini G, Gigoni R, et al. Detection of biliary complications after orthotopic liver transplantation with MR cholangiography [J]. Magn Reson Imaging, 2001; 19(8)∶1097.
  1. 1. 程燕， 印隆林， 宋彬. 肝移植術(shù)前影像學(xué)檢查綜合評價 [J].中國普外基礎(chǔ)與臨床雜志, 2003; 10(4)∶397.
  2. 2. GarciaCriado A, Gilabert R, Bargallo X, et al. Radiology in liver transplantation [J]. Semin Ultrasound CT MR, 2002; 23(1)∶114.
  3. 3. Katyal S, Oliver JH 3rd, Buck DG, et al. Detection of vascular complications after liver transplantation: early experience in multislice CT angiography with volume rendering [J]. AJR Am J Roentgenol, 2000; 175(6)∶1735.
  4. 4. Nghiem HV. Imaging of hepatic transplantation [J]. Radiol Clin North Am, 1998; 36(2)∶429.
  5. 5. Nghiem HV, Tran K, Winter TC 3rd, et al. Imaging of complications in liver transplantation [J]. Radiographics, 1996; 16(4)∶825.
  6. 6. Nolten A, Sproat IA. Hepatic artery thrombosis after liver transplantation: temporal accuracy of diagnosis with duplex US and the syndrome of impending thrombosis [J]. Radiology, 1996; 198(2)∶553.
  7. 7. Quiroga S, Sebastia MC, Margarit C, et al. Complications of orthotopic liver transplantation: spectrum of findings with helical CT [J]. Radiographics, 2001; 21(5)∶1085.
  8. 8. Sugimoto H, Kaneko T, Marui Y, et al. Reversal of portal flow after acute rejection in livingdonor liver transplantation [J]. J Hepatobiliary Pancreat Surg, 2001; 8(6)∶573.
  9. 9. Piolanti M, Fabbro E, Pascali E, et al. CT angiography for the evaluation of adult orthotopic liver transplantation arterial complications [J]. Radiol Med (Torino), 2001; 102(5-6)∶348.
  10. 10. Boraschi P, Braccini G, Gigoni R, et al. Detection of biliary complications after orthotopic liver transplantation with MR cholangiography [J]. Magn Reson Imaging, 2001; 19(8)∶1097.