MRI与经皮肝穿肝静脉造影诊断Ⅰ型Budd-综合征的价值  

Comparative study on the diagnostic value of MRI and percutaneous transhepatic venography for type 1 Budd-Chiari syndrome

作　　者：刘俊华[1] 

机构地区：[1]菏泽市立医院CT室,山东省274031

出　　处：《实用诊断与治疗杂志》2005年第6期416-417,共2页Journal of Practical Diagnosis and Therapy

摘　　要：目的比较MRI和经皮肝穿肝静脉造影在Budd-chiari综合征诊断中的应用价值。方法分析45例型Budd-chiari综合征患者MRI和肝静脉造影表现,比较这两种方法显示肝静脉、下腔静脉和肝内、肝外侧支血管的情况。结果(1)45例Budd-chiari综合征患者,MRI显示出35例肝静脉阻塞,肝静脉造影显示36例阻塞;(2)MR显示38例患者有肝内侧支血管,肝外侧支循环形成40例。肝静脉造影分别为26例、28例。结论MR在显示肝静脉的解剖结构和病变情况方面与肝静脉造影相当,在判定栓子性质、显示肝内外侧支血管和显示邻近器官病变方面优于肝静脉造影。Objective To compare the value of MRI and percutaneous transhepatic venography in the diagnosis of Budd-Chiari syndrome. Methods Forty-five cases of type 1 Budd-Chiari syndrome were analyzed their MRI and percutaneous transhepatic venography manifestation.The findings of hepatic veins,inferior vena cava and collateral vessel on the MRI and percutaneous transhepatic venography were compared. Results ① The occlusion of hepatic veins was showed by MRI in 35 patients,while the occlusion in 36 patients respectivel were showed by percutaneous transhepatic venography.② MRI showed the intrahepatic collateral vessels in 38 patients and the extrahepatic collateral vessels in 40 patients.Percutaneous transhepatic venography showed in 26 patients and 28 patients. Conclusion MRI is superior to percutaneous transhepatic venography in showing the occlusion of hepatic veins,configuration of intrahepatic collateral vessels and extrahepatic collateral vessels.

关 键 词：肝静脉狭窄 MRI 经皮肝穿肝静脉造影 

分 类 号：R445.2[医药卫生—影像医学与核医学]