CT静脉成像在布加综合征诊疗中的应用  

Application of CT venography in diagnosis and treatment of Budd-Chiari syndrome

作　　者：王孝高[1] 陈世远[1] 施彪[2] 乔晓春[2] 高涌[1] 余朝文[1] 聂中林[1] 

机构地区：[1]蚌埠医学院第一附属医院血管外科,安徽蚌埠233004 [2]安徽省蚌埠市第一人民医院CT室,233004

出　　处：《重庆医学》2016年第8期1043-1045,共3页Chongqing medicine

基　　金：安徽省2008年度科研计划项目(02020303090);安徽省卫生厅课题(2010C077)

摘　　要：目的探讨CT静脉成像(CTV)技术在布加综合征(BCS)诊疗过程中的应用价值。方法对2012年1月至2014年1月该院收治的58例BCS患者进行CTV检查,对下腔静脉、肝静脉、门静脉及侧支血管进行重建分析。结果所有患者均完成CTV检查,被明确诊断为BCS。其中下腔静脉隔膜型19例,短段病变型15例,长段病变型8例,肝静脉型9例,合并血栓形成的7例。所有患者均见到侧支血管不同程度的代偿扩张,肝脏硬化及脾脏肿大等表现。结论 CTV技术的应用对于BCS的诊疗具有图像清晰、直观、全面,能够显示病变血管部位、性质及长度的优点,还能观察侧支血管扩张及肝硬化程度。Objective To investigate the application value of CT venography（CTV）in the diagnosis and treatment of BuddChiari syndrome（BCS）.Methods 58 patients with BBCS in our hospital from January 2012 to January 2014 were performed the CTV examination.The inferior vena cava,hepatic vein,portal vein and collateral vessels were performed the reconstruction analysis.Results All the patients were definitely diagnosed as BCS after completing CTV examination,including：19cases of inferior vena cava（IVC）diaphragm type,15 cases of short IVC segment occlusion,8cases of long IVC segment occlusion,9cases of hepatic vein stenosis or occlusion,7cases complicated by fresh thrombosis.In addition,the different degrees of compensatory expansion of collateral vesse,intuition and comprehensiveness,can display the position,character and length of lesion vessel,also observes the degrees of collateral vessels expansion and liver cirrhosis.

关 键 词：布加综合征 CT静脉成像 诊疗 

分 类 号：R575[医药卫生—消化系统]