Caiado Angela Hissae Motoyama, Blasbalg Roberto, Marcelino Antonio Sergio Zafred, da Cunha Pinho Marco, Chammas Maria Cristina, da Costa Leite Claudia, Cerri Giovanni Guido, de Oliveira André Cosme, Bacchella Telésforo, Machado Marcel Cerqueira César
Institute of Radiology, University of São Paulo, Medical School, São Paulo, Brazil.
Radiographics. 2007 Sep-Oct;27(5):1401-17. doi: 10.1148/rg.275065129.
Liver transplantation is currently an accepted first-line treatment for patients with end-stage acute or chronic liver disease, but postoperative complications may limit the long-term success of transplantation. The most common and most clinically significant complications are arterial and venous thrombosis and stenosis, biliary disorders, fluid collections, neoplasms, and graft rejection. Early diagnosis is crucial to the successful management of all these complications, and imaging plays an important role in the diagnosis of all but graft rejection. A multimodality approach including ultrasonography and cross-sectional imaging studies often is most effective for diagnosis. Each imaging modality has specific strengths and weaknesses, and the diagnostic usefulness of a modality depends mainly on the patient's characteristics, the clinical purpose of the imaging evaluation, and the expertise of imaging professionals.
肝移植目前是终末期急性或慢性肝病患者公认的一线治疗方法,但术后并发症可能会限制移植的长期成功率。最常见且临床上最重要的并发症是动静脉血栓形成和狭窄、胆道疾病、积液、肿瘤和移植物排斥反应。早期诊断对于所有这些并发症的成功处理至关重要,而影像学检查在除移植物排斥反应外的所有并发症诊断中都发挥着重要作用。包括超声检查和横断面成像研究在内的多模态方法通常对诊断最为有效。每种成像方式都有其特定的优缺点,一种成像方式的诊断效用主要取决于患者的特征、成像评估的临床目的以及成像专业人员的专业知识。