彩色多普勒超声对布加综合征的分型诊断及观察分析  

Classification Diagnosis and Observation of Budd-Chiari Syndrome by Color Doppler Ultrasonography

作　　者：刘倩 赵蕊[2] 佟海燕 

机构地区：[1]北京市海淀区海军机关门诊部放射科,北京100841 [2]中国人民解放军海军总医院超声诊断科

出　　处：《实用预防医学》2011年第5期891-892,共2页Practical Preventive Medicine

摘　　要：目的探讨彩色多普勒超声对布加综合征的分型诊断及观察。方法对36例布加综合征患者行彩色多普勒超声检查,观察血流特征及其二维超声表现,对超声检查结果进行分析。结果布加综合征患者临床容易产生误诊,36例患者腔静脉阻塞28例,肝静脉阻塞6例,两者同时阻塞2例,本组患者与数字血管减影造影符合率为80.56%(29/36),误诊以肝硬化失代偿期最常见,肝硬化失代偿期4例,结核性腹膜炎2例,缩窄性心包炎1例。结论彩色多普勒超声能够显示BCS的血管阻塞部位、程度、范围及侧支循环,应用彩色多普勒超声对布加综合征检查时,为提高临床准确率,要做好观察并明确分型诊断。Objective To explore the value of color Doppler ultrasonography in classification diagnosis and observation of Budd-Chiari syndrome. Methods Thirty-six patients with Budd-Chiari syndrome were detected by color Doppler ultrasonography.The characteristics of blood flow and the performance of two-dimensional ultrasound were observed.And the examination results were analyzed. Results The misdiagnosis of Budd-Chiari syndrome was often encountered in clinical practice.Among the 36 patients,there were 28 patients with vena cava obstruction,6 patients with hepatic vein occlusion,and 2 patients with vena cava obstruction and hepatic vein occlusion.The coincidence rate between the patients and digital subtraction angiography of blood vessels was 80.56%（29/36）.Decompensated hepatocirrhosis was the most commonly misdiagnosed disease,and the incidence rate of misdiagnosis was 19.44%（7/36）,including 4 cases of decompensated hepatocirrhosis,2 cases of tuberculous peritonitis,and 1 case of constrictive pericarditis. Conclusions Color Doppler ultrasound can display the blockage parts of blood vessels,the degree,the scope and the collateral circulation in Budd-chiari syndrome.Application of color Doppler ultrasonic examination in Budd-chiari syndrome should observe carefully and clearly diagnosed so as to improve the clinical accuracy.

关 键 词：布加综合征 超声检查 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]