彩色多普勒超声和CT血管成像对Budd-Chiari综合征的诊疗价值  

Clinical value of color Doppler ultrasound and computed tomography angiography in diagnosis and interventional therapy of Budd-Chiari syndrome

作　　者：古今 王雨[2] 杜伊林[3] 罗丽[3] 陈家飞[4] 

机构地区：[1]重庆市红十字会医院超声科,重庆400020 [2]重庆市肿瘤研究所影像科,重庆400030 [3]重庆市肿瘤研究所超声科,重庆400030 [4]第三军医大学西南医院放射科,重庆400038

出　　处：《局解手术学杂志》2017年第2期119-124,共6页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的探讨彩色多普勒超声(CDUS)和CT血管成像(CTA)技术对Budd-Chiari综合征(BCS)的诊疗价值。方法回顾性分析2010年1月至2016年10月重庆市红十字会医院诊治的33例经数字减影血管造影(DSA)和介入治疗确诊的BCS患者的影像资料。33例BCS患者均行CDUS检查,其中26例同时行CTA,比较两种影像检查对Budd-Chiari综合征的诊疗价值。结果CDUS和CTA对BCS的诊断符合率分别为90.9%和96.2%,无统计学差异(P>0.05)。CDUS和CTA能够较全面地反映肝脾形态、BCS病变部位的类型、狭窄情况及血流状态;对肝内、肝外侧支血管及其走行显示清晰。介入治疗1周后,复查CDUS提示治疗血管通畅,血流状态良好。结论 CDUS是BCS诊断和术后复查的首选影像检查,而CTA能够为BCS术前评估和手术方式选择提供重要参数。Objective To evaluate the clinical value of color Doppler ultrasound （CDUS） and computed tomography angiography（CTA） in diagnosis of Budd-Chiari syndrome（BCS）. Methods The CDUS and CTA data about 33 BCS patients diagnosed by digital subtraction an- giography（DSA） and treated by interventional therapy were retrospectively analyzed. All of 33 patients with BCS were examined with CDUS, 26 cases of them received CTA. The diagnostic value of BCS between two methods were compared. Results The diagnostic accordance rate of CDUS and CTA for BCS were 90.9% and 96.2% respectively, which had no significant statistical difference （ P 〉 0.05 ）. The two methods could not only comprehensively systematically reflect the morphologic changes of liver and spleen, the stenosis and blood flow state of the le- sion regions, but also clearly display the intrahepatic/extrahepatic collateral vessels trend in the abdomen. One week after interventional thera- py,the CUDS results showed blood vessels pristine and stable hemodynamies. Conclusion CDUS is the preferred imaging in the diagnosis and postoperative re-examination of BCS. While, CTA can provide many important parameters for preoperative assessment and operation way.

关 键 词：BUDD-CHIARI综合征 彩色多普勒超声 CT血管成像 数字减影血管造影 介入治疗 

分 类 号：R445[医药卫生—影像医学与核医学]