Kanegawa K, Nishiyama S, Muraji T, Ishii K, Kouno M
Department of Radiology, Kobe Children's Hospital.
Kaku Igaku. 1992 Apr;29(4):501-4.
We reported two patients with liver transplantation who are performed hepatobiliary scintigraphy in rejection. In one patient hepatobiliary scintigraphy shows dilatation of bile duct but it shows good clearance from liver. In another patient hepatobiliary scintigraphy shows delayed clearance from liver. Both patients recovered from rejection. There are four main complications--vascular and biliary abnormality, infection, rejection--after liver transplantation. Hepatobiliary scintigraphy shows almost same findings except biliary complication, so it is difficult to distinguish between infection and rejection. But hepatobiliary scintigraphy may be useful to evaluate transplanted liver function in rejection.
我们报告了两名接受肝移植的患者，他们在发生排斥反应时进行了肝胆闪烁显像。其中一名患者的肝胆闪烁显像显示胆管扩张，但肝脏清除良好。另一名患者的肝胆闪烁显像显示肝脏清除延迟。两名患者均从排斥反应中康复。肝移植后有四种主要并发症——血管和胆道异常、感染、排斥反应。除胆道并发症外，肝胆闪烁显像显示的结果几乎相同，因此很难区分感染和排斥反应。但肝胆闪烁显像可能有助于评估排斥反应时移植肝脏的功能。
