Budd-Chiari综合征患者肝尾状叶交通静脉临床意义  

Clinical significance of hepatic caudate connection vein in patients with Budd-Chiari syndrome

作　　者：潘智阳 许伟 祖茂衡 王仲恺 徐文海 徐肖杨 陈宏亮 PPAAIN Zhiyang;XU Wei;ZU Maoheng;WANG Zhongkai;XU Wenhai;XU Xiaoyang;CHEN Hongliang(Department of Interventional Radiology,Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu Province 221006,China)

机构地区：[1]徐州医科大学附属医院介入放射科,江苏徐州221006 [2]福建省厦门市中医院介入科

出　　处：《介入放射学杂志》2023年第4期326-329,共4页Journal of Interventional Radiology

摘　　要：目的 探讨肝尾状叶交通静脉(HCCV)在Budd-Chiari综合征(BCS)患者临床诊断和介入治疗中的价值。方法 收集2015年1月至2016年12月在徐州医科大学附属医院行上腹部MRA检查并于1周内行DSA检查的247例BCS患者临床资料。观查患者HCCV发生率,测量HCCV开口直径和开口至右心房入口距离,分析HCCV与肝静脉的交通关系。结果 247例BCS患者中检出110例有HCCV,发生率为44.5%,其中下腔静脉阻塞型患者中发生率为58.1%。HCCV开口直径为(11.3±4.3) mm,开口至右心房入口距离为(5.3±1.5) cm。HCCV与肝中静脉和/或肝左静脉存在交通关系。结论 HCCV在肝左静脉和肝中静脉阻塞时具有代偿性引流肝脏静脉血液的作用,有助于直接或间接诊断BCS,为介入治疗提供了一种选择。Objective To investigate the clinical value of hepatic caudate connection vein(HCCV) in the diagnosis and treatment of patients with Budd-Chiari syndrome(BCS). Methods The clinical data of a total of 247 BCS patients, including inferior vena cava occlusion type(n=172, 69.6%), hepatic vein occlusion type(n=53,21.5%) and mixed type(n=22, 8.9%), who were admitted to the Affiliated Hospital of Xuzhou Medical University of China between January 2015 and December 2016 to receive upper abdomen MRA examination followed by DSA examination within one week, were retrospectively analyzed. The incidence of HCCV was calculated, the HCCV opening diameter and the distance between HCCV opening and right atrium entrance were measured. The communication relationship of HCCV and hepatic veins was analyzed. Results Of the 247BCS patients, HCCV was detected in 110 with an incidence of 44.5%. In patients with BCS of inferior vena cava occlusion type, the incidence of HCCV was 58.1%. The mean HCCV opening diameter was(11.3±4.3) mm,and the mean distance between HCCV opening and right atrium entrance was(5.3±1.5) cm. Communication channels existed between HCCV and middle hepatic veins and/or left hepatic veins. Conclusion HCCV has a compensatory effect of draining hepatic venous blood when the left hepatic vein and middle hepatic vein are occluded, which is helpful for the direct or indirect diagnosis of BCS, providing an option for interventional therapy.

关 键 词：BUDD-CHIARI综合征 肝尾状叶交通静脉 肝静脉 肝内交通支 

分 类 号：R575.2[医药卫生—消化系统]