肝硬化CT门静脉血管成像中门静脉侧支血管的临床表现分析  

Clinical manifestation analysis of portal vein collateral vessel in cirrhosis CT portal vein angiography

作　　者：熊叶野[1] 罗汉辉[1] 游芳松[1] 

机构地区：[1]江西省丰城市中医院CT室,江西丰城331100

出　　处：《中国当代医药》2013年第36期106-107,共2页China Modern Medicine

摘　　要：目的探讨肝硬化CT门静脉血管成像中门静脉侧支血管的临床表现，为今后的临床诊断工作提供可靠的参考依据。方法随机抽取2010年1月～2012年12月本院收治的肝硬化门静脉高压临床确诊病例42例，对其临床资料和CT门静脉血管成像以及门静脉侧支血管三维重建图像进行回顾性分析。结果42例患者中，经门静脉侧支血管三维重建图像可观察到胃左静脉曲张者34例，食管下段曲张者21例，胃短／胃后静脉曲张者18例，食管旁静脉曲张者11例。结论CT门静脉血管成像能够清晰显示肝硬化门静脉高压患者的侧支血管，对于疾病的诊断及病情的评估均具有重要意义。Objective To dicuss the clinical manifestation of portal vein collateral vessel in cirrhosis CT portal vein angiography,in order to provide reference for clinical diagnosis. Methods 42 patients with cirrhotic portal hypertension treated in our hospital from January 2010 to December 2010 were selected randomly.The clinical data and CT portal vein angiography and three dimensional reconstruction image of portal vein collateral vessel of all patients were ana- lyzed retrospectively. Results Among the 42 patients,the three dimensional reconstruction image of portal vein collateral vessel indicated that there were 34 patients with left gastric varices,21 cases with lower esophageal varicose,18 cases with short gastric vein or retroperitoneal varices and 11 cases with paraesophageal varices. Conclusion CT portal vein angiography can clearly shows the collateral vessel of patients with cirrhotic portal hypertension,which has great signifi- cance to diagnose the evaluate the disease of patients.

关 键 词：肝硬化 CT 门静脉高压 侧支循环 三维重建 

分 类 号：R445.3[医药卫生—影像医学与核医学]