多排螺旋CT及彩色多普勒超声在布加综合征分型诊断中的应用价值

发布时间：2018-04-23 11:44

本文选题：布加综合征 + 多排螺旋CT　；参考：《上海交通大学学报》2017年05期

【摘要】：为探讨多排螺旋CT(MSCT)及彩色多普勒超声对布加综合征(Budd-Chiari Syndrome,BCS)的术前分型应用价值,回顾性分析了经数字减影造影(DSA)或手术证实的63例BCS患者的临床资料及MSCT、彩色多普勒超声等影像学表现.MSCT诊断结果表明:63例BCS患者中下腔静脉全部或部分阻塞15例(23.8%),肝静脉阻塞30例(47.6%),混合型18例(28.6%);诊断符合率为100%,63例病例均出现肝内或肝外侧支静脉循环.超声诊断结果显示:63例BCS患者中,被多普勒超声诊断为BCS的患者为55例(其中肝静脉阻塞25例,下腔静脉型12例,混合型18例),漏诊8例;超声诊断符合率为87.3%.因此,MSCT是诊断BCS的有效检查方法,对BCS的术前分型具有重要参考价值;彩色多普勒超声可以作为BCS的基本筛查手段.
[Abstract]:To evaluate the value of MSCT and color Doppler ultrasound in the preoperative classification of Budd-Chiari Syndrome syndrome (Budd-Chiari Syndrome). The clinical data of 63 cases of BCS proved by digital subtraction angiography (DSA) or surgery were retrospectively analyzed. The diagnostic results of MSCT, color Doppler ultrasound and other imaging findings showed that the total or partial obstruction of inferior vena cava in 63 patients with BCS was totally or partially blocked. There were 30 cases of hepatic vein obstruction and 18 cases of mixed type. The diagnostic coincidence rate was 100 cases and 63 cases all had intrahepatic or lateral hepatic collateral circulation. Among 63 cases of BCS diagnosed by ultrasound, 55 cases were diagnosed as BCS by Doppler ultrasound (25 cases of hepatic vein occlusion, 12 cases of inferior vena cava type, 18 cases of mixed type, 8 cases of missed diagnosis), the diagnostic coincidence rate of ultrasound was 87.3%. Therefore, MSCT is an effective method for the diagnosis of BCS, and has important reference value for the preoperative classification of BCS. Color Doppler ultrasound can be used as a basic screening method for BCS.
【作者单位】：华东疗养院影像科;上海交通大学医学院附属瑞金医院放射介入科;
【分类号】：R445.1;R575;R816.5

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