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彩色多普勒超声对原位肝移植术后血流动力学研究
引用本文:王晓蕾,周显礼,侯秀娟,王洪波,王虹,刘爱武.彩色多普勒超声对原位肝移植术后血流动力学研究[J].现代生物医学进展,2005,5(2):7-10.
作者姓名:王晓蕾  周显礼  侯秀娟  王洪波  王虹  刘爱武
作者单位:哈尔滨医科大学附属第二医院,150086
摘    要:目的:探讨彩色多普勒超声(CDI)在原位肝移植术后对移植肝血流动力学变化的诊断价值。方法:应用CDI连续观察6例原位肝移植患者移植肝脏形态学变化,肝动脉峰值流速(HAmax)、门静脉及肝静脉平均流速(PVmean,HVmean)等指标,并以30例健康成人男性肝脏的血流动力学参数作为正常对照组。结果:在术后2周内肝脏移植组的HAmax低于正常对照组,1周内表现更为明显;术后1周内移植肝脏组的PVmean高于正常对照组,1周后表现不明显;移植肝脏组的Hvmean与正常对照组相比无明显差异。2周后,HA、PV和HV的血流速度基本上趋于正常。结论:CDI技术对了解肝移植术后移植肝的灌注情况,及早发现肝移植术后早期的并发症有重要意义。

关 键 词:肝移植  彩色多普勒超声  血流动力学
修稿时间:2005年4月19日

Hemodynamic study of Orthotopic liver transplantation by Color Doppler ultrasound
WANG Xiao-lei,ZHOU Xian-li,HONG Xiu-juan,et alHarbin medical university affiliated second hospital.Hemodynamic study of Orthotopic liver transplantation by Color Doppler ultrasound[J].Progress in Modern Biomedicine,2005,5(2):7-10.
Authors:WANG Xiao-lei  ZHOU Xian-li  HONG Xiu-juan  Harbin medical university affiliated second hospital
Abstract:Objective: To evaluate the diagnostic value of color Doppler ultrasound in Hemodynamics after orthotopic liver transplantation. Methods: To examine the peak velocity of hepatic artery (HAmax), the mean velocity of portal vein (PVmean), the mean velocity of hepatic vein (HVmean) in 6 patients with orthotopic liver transplantation, and 30 healthy persons as control by CDI. Results: HAmax after operation is lower than that of normal persons within 7 days; HVmean is higher than that of normal controls within 7 days and gradually be normal in two weeks. Conclusions: We conclude that CDI as a means of monitoring for blood perfuxion after operation has a significant meaning.
Keywords:Orthotopic liver transplantation  Color Doppler ultrasound  Hemodynamics
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