肝尾状叶静脉的超声研究  

Ultrasonic Demonstration of the Caudate Lobe Vein in Liver

作　　者：李杰[1] 李传福[1] 刘韶苹[1] 马哲[1] 陶国伟[1] 付庆昭[1] 

机构地区：[1]山东大学齐鲁医院影像中心,济南市250012

出　　处：《中国超声医学杂志》2002年第5期353-354,共2页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 :研究肝尾状叶静脉的超声表现及其临床意义。方法 :应用超声观测 30例患者的 36支尾状叶静脉 ,其中原发性布 -加氏综合症患者 2 2例 ,淤血肝患者 8例。检测记录包括 :(1)尾状叶静脉汇入下腔静脉的部位 ;(2 )尾状叶静脉的支数 ;(3)尾状叶静脉的走向 ;(4)尾状叶静脉的管径。结果 :36支尾状叶静脉中 ,管径从 0 .2 7～ 0 .85 cm不等 ,平均管径为 (0 .4 7± 0 .16 ) cm。 70 %汇入下腔静脉左前壁或左壁 ,单支型 2 5例 ,占 83% ,2支型 4例 ,3支型 1例。 36支尾状叶静脉中 ,除一支外 ,其余均未显示其属支。所有尾状叶静脉均为左走行或左前走行。结论 :正确认识尾状叶静脉对临床特别是肝部分切除术及布 -加氏综合症的诊疗等有重要意义。Objective:To study the caudate lobe vein in liver and its clinical significance with ultrasound.Methods:The caudate lobe vein in liver was demonstrated sonographically in 30 patients,including 22 patients with Budd Chiari syndrome and 8 patients with a markedly elevated central venous pressure.Results:Thirty six caudate lobe veins were demonstrated sonographically in 30 patients.These veins were measured 0 27～0 85cm in transverse diameters with an average of 0 47±0 16cm.Most veins(70%)were drained into the left or left anterior wall of the inferior vena cava.The caudate lobe vein had three types in morphology:single(25 patients),two(4 patients)and multiple vessles(1 patients),with short left or antero left passage but without branches except for one vessel.Conclusions:The caudate lobe vein can be demonstrated clearly with ultrasound.It has clinic importance to distinguish the vein for making accurate diagnosis of Budd Chiari syndrome and espacially for partial hepatecotomy.

关 键 词：肝尾状叶静脉 布-加综合症 诊断 治疗 超声研究 

分 类 号：R445.1[医药卫生—影像医学与核医学]