查詢結果分析
來源資料
相關文獻
- 使用電腦斷層掃描影像量測移植活體肝臟重量之方法
- 淺談成人活體肝臟移植
- Living-related Liver Transplantation for Methylmalonic Acidemia: Report of One Case
- 肝臟移植的現況與未來的發展
- 非酒精性肝硬化患者接受活體肝臟移植術後於加護病房發生瞻妄之危險因子
- Anesthetic Management of a Patient with Alagille's Syndrome Undergoing Living Donor Liver Transplantation without Blood Transfusion
- 臨床倫理病例討論(14)--器官移植倫理:活體肝臟捐贈與移植
- 肝臟移植前之影像評估
- The Usefulness of Portal Venous Stenting with Self-expandable Metallic Stent in Pediatric Living Donor Liver Transplantation
- 照顧一位活體肝臟捐贈者之護理經驗
頁籤選單縮合
題名 | 使用電腦斷層掃描影像量測移植活體肝臟重量之方法=Graft Weight Measurement of Living Donor Liver Transplantation by CT Images |
---|---|
作者 | 林正欣; 李榮輝; 楊志明; 陳佩琴; 蔡長諭; 趙世裕; 歐信佑; 鄭汝汾; 饒若琪; 陳博洲; | 書刊名 | 中華放射線技術學雜誌 |
卷期 | 37:3 2013.09[民102.09] |
頁次 | 頁139-144 |
分類號 | 416.246 |
關鍵詞 | 64切層電腦斷層; 活體肝臟移植; 移植重量; 電腦斷層肝臟體積量測; 64 MDCT; Living donor liver transplantation; Graft weight; CT liver volumetry; |
語文 | 中文(Chinese) |
中文摘要 | 在過去,活體肝臟移植肝臟體積量測是以中肝靜脈(Middle hepatic vein)和肝圓韌帶(teres ligament)為邊界來分葉。本研究的目的是在2種肝臟移植手術方式使用64 切層電腦斷層(64 MDCT)在術前準確評估肝臟體積預測的有效性,發展出前瞻性活體捐贈者的肝臟重量計算公式。術前以中肝靜脈和肝圓韌帶當作切割線來量測肝臟體積,並依肝臟移植手術方式將80位捐贈者分成2個組別:A組-不含中肝靜脈之肝臟右葉和B組-含中肝靜脈之肝臟左葉。術中取下之捐贈肝臟立即秤重(gm);術前預測肝臟移植重量即為電腦斷層量測肝臟體積(cm^3)乘以肝臟密度1.1172(g/mL)。2個組別用此法方分別計算和統計分析。預測術中移植的肝臟重量(W group)可以利用下列公式算出:A組=WA×0.8;B組=WB × 0.95。本研究顯示以中肝靜脈和肝圓韌帶能有效幫助術前肝臟體積量測,但由於肝臟移植手術包含或不包含中肝靜脈方式所取下之肝臟重量將會影響術前肝臟重量量測的準確性。所以本研究利用上述發展之公式獲得之術前電腦斷層肝臟重量量測資料可以準確評估術中活體肝臟移植之重量。 |
英文摘要 | The aim of this study was to estimate the volume and weight of a donor's living liver accurately before graft surgery using 64-slice computed tomography (CT). A forward-looking formula was developed to calculate the donor's living liver weight. The middle hepatic vein (MHV) and teres ligament were used as cutting lines to determine the liver segments on CT images and then the liver volume was measured before graft surgery. Two different living liver graft surgeries were investigated, one is right lobe without MHV (group A) and the other was left lobe with MHV (group B). The modified formula is listed as follows. The estimated weight of a donor's liver before graft surgery = the liver volume measured from CT images (cm^3) × liver density (1.1172 mg/mL) ×correction constant. The correction constant for group A was 0.8 and 0.95 for group B. The grafted liver was weighted by a scale immediately after it was sectioned from the donor and then compared to the predicted weight. The results showed that the use of the proposed formula to predict the grafted liver weight could be very accurately and close to the real weight. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。