布-加综合征合并肝脏结节的影像学诊断  

Imaging diagnosis of hepatic nodules in patients with Budd- Chiari syndrome

作　　者：孙玉岭[1] 王志伟[1] 马秀现[1] 张瑞芳[2] 高雪梅[3] 

机构地区：[1]郑州大学第一附属医院肝胆外科、肝胆胰疾病研究所,450052 [2]郑州大学第一附属医院超声科,450052 [3]郑州大学第一附属医院核磁共振室,450052

出　　处：《中华消化外科杂志》2012年第6期556-560,共5页Chinese Journal of Digestive Surgery

基　　金：国家自然科学基金（81100304）;卫生行业科研专项（201002015）

摘　　要：近年来，布-力口综合征合并肝脏结节的临床检出率日益增高，但这种肝脏结节早期无明显的临床症状，缺乏特异的定性诊断方法，易造成误诊；另一方面，目前临床对布-加综合征合并肝脏结节认识不足，也导致了很多不恰当的治疗。本研究回顾性分析1996年2月至2009年7月我院收治的51例布-加综合征合并肝脏结节患者的临床资料，总结该病的影像学特点。Hepatic nodules in patients with Budd- Chiari syndrome （B-CS） are identified in clinical work and the differentiating diagnosis is very important for making the treat- ment strategy. Most B-CS patients with hepatic nodules have nonspeeific clinical manifestations. Ultrasonography, computed tomography and magnetic resonance imaging are often used for differentiating diagnosis. According to the results of retrospective study on clinical and imaging data of 51 B-CS patients with hepatic nodules, we draw a conclusion that the differentiating diagnosis of hepatic nodules in patients with B-CS depends on imaging characteristics. Different treatment strategies are adopted according to the comprehensive analysis of these imaging data and satisfactory results can be achieved.

关 键 词：肝肿瘤 布-加综合征 肝脏结节 诊断 影像学 

分 类 号：R575[医药卫生—消化系统]