transplantologiyaТрансплантологияTransplantologiya. The Russian Journal of Transplantation2074-05062542-0909IPO Association of Transplantologists10.23873/2074-0506-2012-0-1-2-54-59transplantologiya-380Research ArticleДИАГНОСТИКАDIAGNOSTICSРоль эхографии в ранней диагностике билиарных осложнений при ортотопической трансплантации печениThe role of sonography in early diagnosis of biliary complications in orthotopic liver transplantationДоноваЛ. В.DonovaL. V.donovalv@gmail.comЧугуновА. О.ChugunovA. O.ДжаграевК. Р.DzhagraevK. R.НИИ СП им Н. В. СклифосовскогоРоссияSklifosovsky Research Institute for Emergency MedicineRussian Federation20122408201801-25459Copyright © Донова Л.В., Чугунов А.О., Джаграев К.Р., 20182018Донова Л.В., Чугунов А.О., Джаграев К.Р.Donova L.V., Chugunov A.O., Dzhagraev K.R.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jtransplantologiya.ru/jour/article/view/380

Проанализированы результаты многократных комплексных УЗИ, выполненных у 180 пациентов после ортотопической трансплантации печени (ОТП) в раннем и позднем послеоперационном периодах. Наличие несостоятельности билиарного анастомоза (НБА) после ОТП диагностировано у 6,1 % реципиентов. Чувствительность, специфичность и точность диагностики НБА методом динамического ультразвукового наблюдения составили в нашем исследовании 100, 98 и 99 % соответственно. Возникновение БГ вследствие стриктур анастомотической и неанастомотической локализации, по данным УЗИ, диагностировано у 12,2 % оперированных больных. По данным динамического эхографического исследования, предшествующие ишемические повреждения печеночного трансплантата или сосудистые осложнения выявлялись у 82,3 % больных с НБА и у 30,4 % – с признаками наличия стриктур билиарного дерева.

The results of multiple complex ultrasound examinations performed in 180 patients after the OLT in early and late postoperative period are analyzed. The presence of biliary anastomotic failure (BAF) after OLT was diagnosed in 6.1 % of recipients. Sensitivity, specificity and diagnostic accuracy of BAF by dynamic ultrasound observation in our study were 100, 98 and 99 % respectively. The emergence of biliary hypertension (BH) due to strictures of anastomotic and nonanastomotic localization was diagnosed by ultrasound in 12.2 % of operated patients. According to the study of dynamic ultrasound investigation previous ischemic damage to liver transplant or vascular complications were detected in 82.3 % of patients with the BAF and in 30.4 % patients with evidence of the presence of strictures of the biliary tree.

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The authors declare that there are no conflicts of interest present.