肝短静脉的超声检测及临床价值  

Ultrasonic Check-up and Its Clinical Value in Short Hepatic Vein

作　　者：陶杰[1] 廖明松[1] 王先银 赖小今[1] 马琳英[1] 

机构地区：[1]解放军成都军区总医院超声科,成都市610083 [2]解放军第520医院超声科

出　　处：《中国超声医学杂志》2005年第8期598-600,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：目的研究肝短静脉(SHV)的超声表现及分布特点。方法观察160例经临床和实验室检查除外急慢性肝病的门诊及住院患者,超声仔细扫查第二肝门以下的下腔静脉周围肝组织(围第三肝门部),发现并记录肝短静脉的位置、数目、管径、走行、血流频谱。结果160例检测对象中有104例测及肝短静脉,显示率占观测总数的65%(104/160),共测及151支肝短静脉,其中观测到1支的有67例,占观测到总数的64.4%;观测到2支的有27例,占26.0%;观测到3支10例,占9.6%。管径1～8mm,平均管径为(2.93±1.90)mm。男女之间未见差异。其中以较粗大的右后前短静脉较多见。结论二维结合彩色多普勒超声能较好地显示血管内径大于1.0mm的肝短静脉,可为肝叶段切除、肝移植及布-加氏综合征等患者的治疗提供参考依据,有助于减少血管并发症的发生。Objective To investigate the ultrasonic appearance and distributive features of the short hepatic veins. Methods A total of 160 cases were reviewed. Hepatic tissue below the second porta hepatic and around inferior vena cava were checked by ultrasound. The location, numbers, calibers, courses, blood flow spectra of short hepatic vein were studied. Results To tally 151 short hepatic veins were discovered in 104 of 160 cases （65%） . In these cases ,only one short hepatic vein was discovered in 67 cases ,two short hepatic veins, in 27 cases and three short hepatic veins in 10 cases. The diameter of the conduit was 1 - 8 mm, and the average was 2.93＋ 1.90 mm. There was no difference between the male and female. The right postero anterior short veins were the most common in all these cases. Conclusions The caliber of the short hepatic vein 1. 0 millimeter could be displayed on 2 Dimensional ultrasound with color Doppler ultrasound. Useful information for hepatic lobe resection, liver transplantation and Budd-chiari syndrome could be provided by ultrasound.

关 键 词：肝短静脉 超声检测 肝叶段切除 肝移植 布-加氏综合征 

分 类 号：R445.1[医药卫生—影像医学与核医学]