超声对Budd-Chiari综合征与肝硬化的诊断及鉴别诊断  

作　　者：金丽[1] 王淑影[1] 张桂香[2] 陈清华 

机构地区：[1]吉林省辽源市中心医院,136200 [2]辽源市妇婴医院,136200 [3]辽源市平岗矿医院,136200

出　　处：《中国社区医师（医学专业）》2012年第2期285-286,共2页

摘　　要：目的:探讨Budd-Chiari综合征与肝硬化二维及彩色多普勒超声特征。方法:回顾性分析6例Budd-Chiari综合征和22例门脉性肝硬化患者的超声影像资料。结果:布加综合征的重要特征是病变主要累及下腔静脉和肝内静脉,病变处血管管壁增厚,管腔变细或闭塞,其内血流紊乱,血流方向异常或无血流信号;肝、脾增大,腹水。肝硬化患者多数为肝脏缩小、脾大、门脉增宽。结论:二维及彩色多普勒超声对布加综合征及肝硬化的诊断符合率较高,且能够做出鉴别诊断,对临床治疗方案的选择有实用意义。Objective： To study 2D and color Doppler ultrasound features of Budd - Chiari syndrome and cirrhotic portal hypertension. Methods： Retrospectively analysis were ultrasound findings in 6 patients of Budd - Chiari syndrome and 22 patients of cirrhotic portal hypertension. Results： The important features of Budd - Chiari syndrome were partial variety in inferior vena cava and hepatic vein, blood flow vessel narrowing and vascular wall thickening, disturbed and dy orientation of blood flow and collateral vasculature in the liver. There was a large number ascites involved inferior vena cava. The features of cirrhotic portal hypertension were within liver, larger in spleen and widen in portal vein. Conclusion： 2D and color Doppler imaging has high diagnostic accuracy and differential diagnosis in Budd -Chiari syndrome and cirrhotic portal hypertension, providing therapeutic information for clinic.

关 键 词：BUDD-CHIARI综合征 肝硬化 彩色多普勒超声显像 

分 类 号：R657.34[医药卫生—外科学]