Budd-Chiari综合征自发门-体交通的超声表现  

Ultrasonogram of Spontaneous Portosystemic Shunts in Patients with Budd-Chiari Syndrome

作　　者：盖永浩[1] 蔡世峰[2] 

机构地区：[1]山东大学附属省立医院超声诊疗科,济南市250021 [2]山东大学附属省立医院医学影像科,济南市250021

出　　处：《中国超声医学杂志》2012年第4期344-347,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的总结Budd-Chiari综合征(BCS)肝硬化门静脉高压自发门-体交通的超声表现。方法回顾性分析300例BCS患者的超声影像资料,对经数字减影血管造影(DSA)或CT血管成像(CTA)证实的39例自发门-体交通的超声表现进行总结。结果 39例按门静脉经交通支到体循环的血流去向共分为5种类型,即门静脉-脐静脉交通型(15/39);门静脉-肝静脉交通型(8/39);门静脉-副肝静脉(包括右后下肝静脉和尾叶静脉)交通型(6/39);脾静脉-左肾静脉交通型(6/39)和门静脉主支-下腔静脉交通型(4/39)。上述5型各具相应血流动力学改变。结论 BCS自发门-体交通并非少见,多切面实时超声检查能作出可靠诊断并指导临床治疗。Objective To study the sonographic feature of intrahepatic spontaneous portosystemic shunts in patients with Budd-Chiari syndrome（BCS）. Methods 39 cases with BCS confirmed by DSA （digital subtraction angiography） or CTA（computed tomography angiography） were reviewed retrospectively. Results The blood drainage pattern of spontaneous portosystemic shunts in 39 cases were classified as the following five types： portal vein（PV）-umbilical vein type（15/39）, PV-hepatic vein type（8/39） ,PV-accessory hepatic vein（including inferior right hepatic vein and caudate lobe vein） type（6/39）, splenic vein-left kidney vein type（6/39）and main portal vein-inferior caval vein type （4/39）. Haemodynamics of five types mentioned above was obtained correspondingly. Conclusions Spontaneous port-osystemie shunts in patients with Budd-Chiari syndrome are not rear. Ultrasonic examination is reliable for its diagnosis and can provide more information for clinical treatment.

关 键 词：肝静脉血栓形成 超声检查 侧支循环 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.2[医药卫生—诊断学]