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放射科医生不能忽视的肝移植并发症

Liver Transplant Complications Radiologist Can't Miss.

作者信息

Kimura Yukiyoshi, Tapia Sosa Ramiro, Soto-Trujillo Dafne, Kimura Sandoval Yumi, Casian Carlos

机构信息

Radiology, Instituto Nacional De Ciencias Medicas Y Nutricion Salvador Zubiran, Mexico City, MEX.

Gastroenterology, Instituto Nacional De Ciencias Medicas Y Nutricion Salvador Zubiran, Mexico City, MEX.

出版信息

Cureus. 2020 Jun 5;12(6):e8465. doi: 10.7759/cureus.8465.

Abstract

Liver transplantation is considered the ideal and definitive therapy for patients with end-stage liver disease. Since 1963 advances in liver transplant surgical techniques and immunosuppressive therapies have improved outcomes and patients' survival. However, early diagnosis of graft dysfunction, through different imaging modalities, is crucial for graft survival. Imaging plays a fundamental role before, during and after the transplantation process. In this review, we will discuss the importance of imaging in the diagnosis of vascular and biliary post-transplant complications through different imaging modalities such as Doppler ultrasonography, computed tomography (CT) and magnetic resonance imaging (MRI).

摘要

肝移植被认为是终末期肝病患者的理想且决定性治疗方法。自1963年以来,肝移植手术技术和免疫抑制疗法的进展改善了治疗效果和患者生存率。然而,通过不同的成像方式早期诊断移植物功能障碍对于移植物存活至关重要。成像在移植过程的术前、术中和术后都发挥着重要作用。在本综述中,我们将讨论通过不同成像方式,如多普勒超声、计算机断层扫描(CT)和磁共振成像(MRI),成像在诊断移植后血管和胆道并发症中的重要性。

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