门静脉血栓形成的影像学表现及病因探讨  

Portal Vein Thrombosis Imaging Manifestation and Etiology

作　　者：侯智通[1] 赵瑞峰[1] 陈亮[1] 王晓玲[1] 

机构地区：[1]牡丹江医学院第二附属医院影像科,牡丹江157011

出　　处：《临床消化病杂志》2013年第2期91-92,97,共3页Chinese Journal of Clinical Gastroenterology

基　　金：黑龙江省卫生厅科研课题(No.2011-337)

摘　　要：目的总结门静脉血栓形成的影像学表现及各种影像学检查的意义。方法选择2011年5月～2012年7月我院收治30例门静脉血栓形成患者,所有病例均经彩超、CT、CTA、MR、3DCE-MRA及间接法门静脉造影检查。结果对门静脉血栓进行Ⅰ～Ⅵ型分型,Ⅰ～Ⅲ型23例;Ⅳ型3例;Ⅴ、Ⅵ型各2例。结论超声可以作为首选检查和筛查,CTA和MRA为诊断的金标准,间接法门静脉造影可作为介入治疗的术前检查。分析病因,力求降低门静脉血栓的发病率。Objective Summary of portal vein thrombosis in the imaging findings and significance of imaging examina- tion. Methods In 2011 May - 2012 July in our hospital, 30 cases of portal vein thrombosis in patients, all cases were con- firraed by color Doppler ultrasound, CT, CTA, MR, 3D CE- MRA and indirect method vein angiography. Results Portal vein thrombosis were Ⅰ to Ⅵ,23 cases of type Ⅰ - Ⅲ and Ⅳ 3 cases; Ⅴ, Ⅵ 2 cases each. Conclusion Ultrasound can be used as the preferred examination and screening; CTA and MRA as the gold standard for diagnosis; indirect method venographyas interventional preoperative examination. Analysis of the etiology, and strive to reduce the incidence of portal vein thrombosis.

关 键 词：门静脉 血栓 影像学 

分 类 号：R657.3[医药卫生—外科学]