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肝脏移植影像学

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肝脏移植影像学

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《肝脏移植影像学》为肝脏移植影像诊断学专著,充分注重临床实用性和学术的先进性,强调体现了各种影像学综合诊断及优选应用的价值。该书涵盖了肝脏移植术的应用解剖、移植肝脏的病理生理、供受体术前的影像学评价及术后并发症的影像诊断和介入治疗等方面。随文附图1600余幅,特别是在移植术后各种并发症的影像诊断及介入治疗方面积累了宝贵的图片资料。肝脏移植技术是根治性治疗终末期肝病的有效手段,如何正确评价供受体肝脏质量、肝脏管道系统(肝动脉、门静脉及胆管)及移植术后并发症,直接关系到移植手术病人的选择、手术的顺利进行及术后并发症的正确处理,直接影响到肝脏移植手术的预后。医学影像技术(CT、MR、DSA和超声)的发展为正确评价上述问题提供了重要工具,影像学已成为肝脏移植技术不可缺少的重要组成部分。
近年来,涉及肝脏疾病CT、MR和超声等影像学诊断的书籍不少,但目前国内还未见有肝脏移植影像学诊断的专科著作,未见有肝脏移植领域实用性较强的综合影像诊断用书。肝脏移植术后肝实质及肝脏管道系统钓变化有着与其他肝脏疾病不同的病理生理特点,正确认识移植后的正常及异常,是移植影像诊断所面临的重大课题。活体肝脏移植技术的发展为如何术前正确评价供体的肝脏质量、血管和胆道系统提出了更为严格的要求。广州中山大学附属第三医院肝脏移植中心是广东省器官移植研究中心及中山大学器官移植研究所的带头学科,肝脏移植的手术例数、疗效及肝脏移植病人的管理站等在本学科前列,在移植影像学诊断及并发症的介入治疗方面积累了丰富的临床资料和诊治经验,取得了丰硕成果。有鉴如此,我们组织了在该领域有突出专长和丰富临床经验的中青年业务骨干,结合国内外最新研究进展和自己的临床工作体会,精心编写了这本《肝脏移植影像学》,以供临床工作者参考。
Catalogue

第一编 总论
第一章 肝脏移植的应用解剖
第一节 肝脏的大体解剖
一、形态、位置和毗邻
二、肝脏的韧带
三、肝脏的分叶与分段
四、肝脏的管道系统
五、肝门和肝蒂
第二节 肝脏的组织结构和功能单位
一、肝小叶
二、汇管区
三、肝腺泡
第三节 肝胆系统动脉的正常解剖及变异
一、肝胆系统动脉的正常解剖
二、肝胆系统动脉的解剖变异
第四节 门静脉的正常解剖及变异
一、门静脉的正常解剖
二、门静脉的解剖变异
第五节 肝静脉的正常解剖及变异
一、肝静脉的正常解剖
二、肝小静脉的解剖
三、肝静脉的解剖类型
第六节 肝后段下腔静脉
第七节 肝胆管系统
一、肝管
二、肝总管
三、胆总管
第八节 肝脏的淋巴和神经
一、肝脏的淋巴
二、肝脏的神经

第二章 肝脏移植的基本知识
第一节 肝脏移植历史与发展
第二节 肝脏移植术
一、经典原位肝脏移植
二、背驮式肝脏移植
三、减体积肝脏移植
四、活体部分肝脏移植
五、劈离式肝脏移植
六、其他形式的肝脏移植
第三节 活体肝脏移植
一、活体肝脏移植的发展简史
二、活体肝脏移植的手术指征
三、供受体术前评价体系
四、外科技术的进展
五、供受体的并发症
六、术后免疫抑制剂的应用
七、前景

第三章 肝脏移植术后病理学及血流动力学
第一节 肝脏移植术后病理学
一、保存性损伤
二、血栓形成
三、胆管并发症
四、移植后排斥反应
五、移植肝的感染
六、移植肝原发病的复发
七、酒精性肝损害
八、肿瘤的复发
九、移植后长期生存者的肝脏改变
十、与全身性疾病有关的肝脏病变
十一、药物及中毒性肝损害
第二节 肝脏移植术后血流动力学
一、术后门静脉血流变化的机制
二、术后肝动脉血流动力学变化
三、术后肝静脉血流动力学变化
四、脾静脉血流变化

第二编 影像学技术
第一章 常规X线检查
第一节 胸部常规X线检查
一、胸部常规X线检查方法
二、肝脏移植术后胸部常见X线征象
第二节 其他部位常规X线检查
一、腹部常规X线检查
二、骨骼常规X线检查

第二章 多层CT检查技术
第一节 肝脏移植围手术期多层CT检查技术
一、检查前准备
二、CT动态增强检查扫描方法及技术参数
三、多层CT后处理技术
四、CT灌注技术
第二节 上腹部正常CT表现
一、肝脏实质
二、肝脏血管及胆管
三、肝段解剖
四、正常肝脏变异
第三节 肝脏移植前后多层CT应用进展

第三章 磁共振成像技术
第一节 肝脏移植围手术期磁共振检查技术
一、磁共振检查前准备
二、磁共振常规检查技术及其应用价值
三、磁共振血管成像
四、磁共振胆胰管成像
五、肝脏体积测量
六、磁共振功能成像技术
第二节 上腹部正常磁共振表现
一、磁共振图像特点
二、正常肝脏磁共振表现
三、正常血管磁共振表现
四、正常胆管系统磁共振表现
第三节 肝脏移植前后磁共振应用进展

第四章 血管造影检查技术
第一节 血管造影概述
一、概况
二、血管造影的基本条件
三、血管造影的适应证及禁忌证
四、血管造影术前准备
五、血管造影的基本技术
六、血管造影并发症及处理
第二节 肝动脉造影技术
一、介入器材
二、造影方法
三、造影诊断
第三节 门静脉造影技术
一、间接法门静脉造影术
二、直接法门静脉造影术
三、造影诊断
第四节 肝静脉造影技术
一、楔入法肝静脉造影术
二、非楔入性或游离性肝静脉造影术
三、经皮肝穿刺肝静脉造影术
四、造影诊断
第五节 下腔静脉造影技术
第六节 血管造影的影像学评价

第五章 经皮肝穿刺胆管造影术
第一节 适应证和禁忌证
一、适应证
……
第三编 肝脏移植术前影像学评价
第四编 肝脏移植术后常见病发症的影像学诊断
第五编 肝脏移植术后并发症的介入放射学治疗
第六编 分子影像学在肝脏移植领域中的应用
Introduction

自20世纪80年代以来,临床医学的进步,莫不归功于影像医学的发展,在外科学领域中尤其如此。当前外科学发展的前沿与影像学发展息息相关,多层螺旋CT扫描技术、快速高场强的磁共振成像、数字三维重建技术、可视化器官和人体、虚拟现场、远程数字影像……等,大大推动了外科学发展,使外科医生终于能在不打开腹腔的情况下“看见”肝脏及肝内的管道系统。同样,肝脏移植技术的进步与影像医学的发展也息息相关,特别是活体肝脏移植技术,对供受体的肝脏质量、肝脏管道系统(肝动脉、门静脉及胆道)的正确评价,以及术后并发症的风险预测和处理等,都离不开影像医学和介入放射学的支持。
肝脏移植术后肝脏解剖、生理、病理的变化有着与其他肝脏疾病不同的特点,如何正确认识移植后的正常与异常活体肝脏移植技术的应用为移植影像学提出了更为严格的要求,如何做到对供体、受体术前正确的评估单鸿教授组织了广州中山大学附属第三医院在肝脏移植领域有突出专长和丰富临床经验的中青年业务骨干,在完成肝脏移植手术超越1 000例的背景下,针对上述问题,参阅了大量国内外文献,精心撰写出《肝脏移植影像学》一书。该书充分注重临床实用性和学术先进性,展示了作者们在临床一线工作中所积累的大量、系统的一手原始资料,随文附有1 600余幅珍贵图片资料,阐述了各种影像学检查技术的综合诊断及优选应用的实用价值。鉴于目前国内还未见有肝脏移植影像学系统的专科著作,该书的出版将填补在该领域的空白,对我国的肝脏移植学和医学影像学的发展具有积极的推动作用和重要的科学价值,同时也为广大读者提供了一本不可多得的参考用书。最后,我对他们的辛勤劳动表示最诚挚的感谢,对他们的工作致以最热烈的祝贺。

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