3. Ультразвуковая диагностика после ортотопической трансплантации печени.УЗ диагностика сосудистых осложнений в ранний посттрансплантационный период.

Авторы

  • A.N. Syzganov National Scientific Centre of Surgery named after A.N.Syzganov, Almaty, Kazakhstan
  • National Scientific Centre of Surgery named after A.N.Syzganov, Almaty, Kazakhstan
  • National Scientific Centre of Surgery named after A.N.Syzganov, Almaty, Kazakhstan

Загрузки

Аннотация

Ортотопическая трансплантация печени (ОТП) является единственным радикальным методом ле-чения при терминальных стадиях хронических диффузных заболеваний печени в условиях дефи-цита трупных донорских органов[1,2].

Ключевые слова

Ультразвуковая диагностика, допплерография сосудов печени, сосудистые осложне-ния

Библиографические ссылки

  1. Portal Vein (PV). Fig.1. Qualitative indicators: – clear visualization of the PV in the gray-scale mode and with the color flow mapping in the area and above the anastomosis, hepatopetal direction of blood flow. Quantitative indicators: – the blood flow volume above the anastomosis, normally in adults should not be below 1.0 liter per minute, in children under 1 year old not less than 0.5 liter per minute – the velocity higher and before the anasto-mosis; the velocity distal to the anastomosis should not exceed the velocity proximal to the anastomosis more than three times
  2. Artery of the graft. Fig.2. Qualitative indicators: – distinct visualization in color Doppler inves-tigation of the hepatic artery in the area and distal to the anastomosis, hepatopetal direc-tion of blood flow. Quantitative indicators: – maximal systolic velocity not more than 200 cm/sec; acceleration time <0.08 sec; index of resistance -> 0.5- <0.7; in the early postop-erative period, 70% of recipients showed an increase in the resistance index to 1.0, which gradually decreased to the norm within 4-6 days, which causes by postoperative swelling of the parenchyma. Fig.1. Doppler sonography of the PV. Blood flow volume 1.13 l/min
  3. Crossin JD, Muradali D, Wilson SR. Ultrasound of liver transplants: normal and abnormal. Radiograph-ics 2003;23:1093-1114
  4. Nghiem HV. Imaging of hepatic transplantation. Ra-diol Clin North Am 1998;36:429-443
  5. Hussain H.K., Nghiem V.H. Imaging of hepatic trans-plantation // Clinics in liver disease. - 2002. - Vol. 6
  6. Miller C.M., Gongolesi G.E., Florman S. et al. One hundred nine living donor liver transplants in adults and children: a single.center experiance // Annuls of Surgery. - 2001. - Vol. 234. - N 3
  7. Dalgic A., Dalgic B., Demirogullari B. et al. Clinical approach to graft hepatic thrombosis following living related liver transplantation // Pediatr.Transplant. -2003. - Vol. 7(2). - 149-52
  8. Dodd G. III, Memel D., Zajko A. et al. Hepatic artery thrombosis and stenosis in transplant recipients: Doppler diagnosis with resistive index and systolic acceleration time // Radiology. - 1994. - Vol. 192. - P. 657-661
  9. Marcos A., Fisher R.A., Ham J.R. et al. Right lobe living donor liver transplantation. // Transplantation. - 1999. - Vol. 68(6). - P. 798-803
  10. Broelsch C.E., Whitington P.F. Emond J.C. et al. Liver transplantation in children from living related donors // Annuls of Surgery.-1991.-Vol.214.-P428-439
  11. Kryjhanovskaya E.Y. A comprehensive ultrasound ex-amination of the graft right lobe of the liver from a living related donor // Dis. - М., 2005. - 127 с

Опубликован

2019-04-01

Выпуск

№ 1 (2019)

Раздел

Статьи