Zhao Ning-Bo, Chen Yi, Xia Rui, Tang Jian-Bo, Zhao Dong
Department of Ultrasound, National Clinical Research Centre for Infectious Disease, Shenzhen Third People's Hospital, The Second Affiliated Hospital of Southern University of Science and Technology, National Clinical Research Center for Infectious Disease, Shenzhen 518112, Guangdong Province, China.
Department of Thyroid and Hernia Surgery, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou 510000, Guangdong Province, China.
World J Gastrointest Surg. 2024 Jan 27;16(1):13-20. doi: 10.4240/wjgs.v16.i1.13.
Liver transplantation is the primary therapeutic intervention for end-stage liver disease. However, vascular complications, particularly those involving the hepatic artery, pose significant risks to patients. The clinical manifestations associated with early arterial complications following liver transplantation are often nonspecific. Without timely intervention, these complications can result in graft failure or patient mortality. Therefore, early diagnosis and the formulation of an optimal treatment plan are imperative. Ultrasound examination remains the predominant imaging modality for detecting complications post liver transplantation. This article comprehensively reviews common causes and clinical presentations of early hepatic artery complications in the post-transplantation period and delineates abnormal sonographic findings for accurate diagnosis of these conditions. Overall, ultrasound offers the advantages of convenience, safety, effectiveness, and non-invasiveness. It enables real-time, dynamic, and precise evaluation, making it the preferred diagnostic method for post-liver transplantation assessments.
肝移植是终末期肝病的主要治疗手段。然而，血管并发症，尤其是涉及肝动脉的并发症，给患者带来了重大风险。肝移植术后早期动脉并发症的临床表现往往不具有特异性。若不及时干预，这些并发症可能导致移植肝失功或患者死亡。因此，早期诊断并制定最佳治疗方案势在必行。超声检查仍然是检测肝移植术后并发症的主要影像学方法。本文全面综述了移植术后早期肝动脉并发症的常见病因及临床表现，并阐述了用于准确诊断这些情况的超声异常表现。总体而言，超声具有便捷、安全、有效和无创的优点。它能够进行实时、动态和精确的评估，使其成为肝移植术后评估的首选诊断方法。
