下腔静脉阻塞综合征的超声诊断价值分析  

The Diagnostic Value of Ultrasound in Inferior Vena Cava Obstruction Syndrome

作　　者：赵晓宁 王萤萤 李毓萍 成珍珍 刘勇 Zhao Xiaoning;Wang Yingying;Li Yuping;Cheng Zhenzhen;Liu Yong(Department of Ultrasonography,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院超声科(北京大学第九临床医学院),北京市100038

出　　处：《中国超声医学杂志》2020年第11期1012-1015,共4页Chinese Journal of Ultrasound in Medicine

基　　金：首都临床诊疗技术研究及示范应用(No.Z191100006619051);北京市科委首都临床特色应用研究(No.Z171100001017043);北京市卫生与健康科技成果和适宜技术推广项目(No.2018-TG-28);首都医科大学附属北京世纪坛“无栓、无血、无痛医院”临床专项课题(No.2015-SW07);中国国家铁路集团有限公司科技研究开发计划项目(No.J2019Z604)。

摘　　要：目的分析下腔静脉阻塞综合征的超声影像学特点,探讨超声诊断及随访价值。方法选取下腔静脉阻塞综合征患者138例,根据超声声像图特点对病因进行分析,并对明确诊断后接受静脉成型术同时行支架置入的53例患者进行超声随访。结果138例患者:下腔静脉血栓或癌栓形成89例、布-加综合征39例(其中腔静脉型22例,混合型17例)、腹腔或腹膜后占位压迫7例、腹膜后纤维化3例。12例布-加综合征患者及58例下腔静脉血栓患者接受静脉成型术,53例患者同时行支架置入术并于3~6个月后行超声复查,其中2例下腔静脉支架再狭窄,1例下腔静脉支架闭塞。结论超声可以较明确地显示下腔静脉阻塞综合征的病因、阻塞程度、部位、侧支循环及血流动力学变化。Objective Analyze the ultrasonographic features of inferior vena cava obstruction syndrome(IVCS)to discuss the value of ultrasonic diagnosis and follow-up.Methods 138 patients with IVCS were selected.The pathogeny was analyzed according to the characteristics of ultrasonography.53 patients who underwent percutaneous transluminal balloon angioplasty and stent implantation were followed up with ultrasound.Results In 138 cases,89 cases showed IVC thrombotic or tumor thrombsis,Budd-Chiari syndrome(BCS)(39 cases,including 22 cases of simple vena cava,and 17 cases of mixed type),7 cases with abdominal or retroperitoneal tumor compression,3 cases with retroperitoneal fibrosis.Among them,12 patients with BCS and 58 patients with inferior vena cava thrombosis underwent inferior vena cava molding,and 53 patients underwent stent implantation at the same time.Ultrasound reexamination was performed 3-6 months later,including restenosis of inferior vena cava stent in 2 cases,occlusion of inferior vena cava stent in 1 case.Conclusions Color Doppler ultrasound can clearly show the etiology,degree,location,collateral circulation and hemodynamic changes of inferior vena cava occlusion syndrome.

关 键 词：彩色多普勒超声 下腔静脉 阻塞 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.6[医药卫生—诊断学]