摘要
目的 探讨三维超声造影（3D-CEUS）评价活体肝移植供肝Ⅳ段肝动脉起源的价值.方法 对20例拟捐献供肝的活体肝移植（LDLT）供体行3D-CEUS检查.以手术/CTA为对照,评价3D-CEUS对Ⅳ段肝动脉起源的诊断符合率.结果 3D-CEUS正确判断13例Ⅳ段肝动脉起源于左肝动脉,2例起源于肝固有动脉,1例Ⅳ段由左肝、右肝动脉各发出一支动脉供应,另4例因3D-CEUS图像显示欠清而无法判断其起源,3D-CEUS诊断符合率为80%（16/20）.结论 3D-CEUS诊断Ⅳ段肝动脉起源符合率较高,能够为LDLT手术提供有用信息,具有临床实用价值.
Objective To assess the value of three-dimensional contrast-enhanced ultrasound （3D-CEUS） in evaluation origin of segment Ⅳ feeding artery in living liver donors. Methods 3D-CEUS were used to examine 20 living liver donors. The origin of segment Ⅳ feeding artery were evaluated by two radiologists who blinded to other imaging information. The findings obtained on operation and （or） CTA were used as the reference standard. Results Segment Ⅳ feeding artery originating from left artery, both left and right artery, proper hepatic artery were demonstrated on 3D-CEUS in 13, 1 and 2 patients,respectively. 3D-CEUS accurately depicted the origin of segment Ⅳ feeding artery in 16（80%） patiens.Conclusions 3D-CEUS could be a useful method to demonstrate the origin of segment Ⅳ feeding artery in preoperative evaluation for LDLT.
出处
《中华超声影像学杂志》
CSCD
北大核心
2010年第11期940-942,共3页
Chinese Journal of Ultrasonography
基金
国家自然基金（30901465）,卫生部公益性行业科研专项经费资助（200802-10）,中山大学青年教师培育项目
关键词
超声检查
三维
微气泡
肝移植
肝动脉
Ultrasonography,three-dimensional
Microbubbles
Liver transplantation
Hepatic artery
