肝移植供肝体积评估的研究进展

摘要/Abstract

摘要： 肝移植术是终末期肝病患者治疗的最佳方案。肝移植术包含全肝移植术和部分肝移植术,后者又可分为活体肝移植、劈离式肝移植和减体积肝移植等。供体器官短缺制约着肝移植的发展,而且供受体肝体积不匹配会导致多种严重并发症甚至致命。目前,我国肝脏捐献的形式主要有公民逝世后器官捐献和亲体捐献,对供肝体积的精确评估能够最大效率地利用器官,尽可能降低肝脏浪费。同时,供肝体积也是制定肝移植手术方案的重要参考标准。通过基于供体基本参数的肝脏体积公式法粗略估算和通过基于影像学的数字化测算法精确评估,是目前主流的两类供肝体积评估方式。本文就肝移植的供肝体积评估进行综述。

关键词: 肝移植, 肝脏体积, 肝脏体积公式, 数字化测算

Abstract: Liver transplantation (LT) is the best treatment for patients with end-stage liver diseases, but the shortage of organs limits the development of LT. At present, the liver donation in China mainly includes organ donation after citizen's death and living donors. The whole or partial grafts could be transplanted into recipients in condition of different donations. Partial LT includes living donor liver transplantation, split liver transplantation and reduced-sized liver transplantation et al. Accurate assessment of liver volume (LV) is the important risk factor of LT. Rough LV evaluation through the formula based on donor's basic parameters and accurate LV evaluation by digital measurement are the two major methods to estimate the LV of donors, which are of great importance to the safety of patients. In this review, we will represent the different ways to evaluate the LV, as well as their advantages and disadvantages.

Key words: Liver transplantation, Liver volume, Liver volume formula, Digital measurement

林鑫, 肖慜, 李启勇. 肝移植供肝体积评估的研究进展[J]. 肝癌电子杂志, 2021, 8(3): 41-45.

Lin Xin, Xiao Min, Li Qiyong. How to evaluate donors' liver volume: a review of researches[J]. Electronic Journal of Liver Tumor, 2021, 8(3): 41-45.

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