超声造影与DSA在布-加综合征诊断效能的对比研究  

Comparative Study of Contrast-enhanced Ultrasound and DSA in Budd-Chiari Syndrome Diagnosis

作　　者：魏小雨[1] 朱家安[1] 杨力[1] 于蕾[1] 李建国[1] Wei Xiaoyu;Zhu Jiaan;Yang Li;Yu Lei;Li Jianguo(Department of Ultrasound,The Peking University People's Hospital,Beijing 100044,China)

机构地区：[1]北京大学人民医院超声科,北京市100044

出　　处：《中国超声医学杂志》2022年第11期1260-1263,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的 探讨超声造影与数字减影血管造影(DSA)两种影像学方法在布-加综合征中诊断效能的一致性。方法 回顾性分析46例临床疑似布-加综合征患者超声造影及DSA两种影像学资料,对超声造影及DSA诊断布-加综合征的结果进行一致性检验。结果 超声造影与DSA两种检查技术诊断布-加综合征的Kappa值为0.73;检测副肝静脉二者的Kappa值为0.71。结论 超声造影能够明确显示布-加综合征受累血管病变类型、部位、范围和有无副肝静脉等,可为临床提供可靠的诊疗信息,在一定程度上可以达到与DSA一致的诊断效能。Objective To study the consistency of contrast-enhanced ultrasound(CEUS) and Digital subtraction angiography(DSA) in the diagnosis of Budd-Chiari syndrome. Methods The imaging data including CEUS and DSA from 46 patients with clinically suspected Budd-Chiari syndrome were retrospectively analyzed. The consistency of two method in diagnosing Budd-Chiari syndrome were tested. Results The Kappa value between CEUS and DSA was 0.73 in Budd-Chiari syndrome diagnosis. In the accessory hepatic vein detection, the Kappa value of CEUS and DSA was 0.71. Conclusions Contrast-enhanced ultrasound can clearly reveal the type, location, scope and accessory hepatic vein of vascular lesions involved in Budd-Chiari syndrome. It can provide reliable diagnosis and treatment information for clinic and can achieve the same diagnostic efficacy as DSA in some extent.

关 键 词：布-加综合征 超声造影 数字减影血管造影 诊断效能 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575[医药卫生—诊断学]