下腔静脉型布-加综合征患者PTA治疗后短期复发的MRA影像学危险因素  

MRA imaging risk factors for short-term recurrence of patients with inferior vena cava type Budd-Chiari syndrome after PTA treatment

作　　者：宁成虎 胡春峰 耿磊 王小龙 NING Chenghu;HU Chunfeng;GENG Lei;WANG Xiaolong(Department of Medical Imaging,Lianyungang Clinical College,Xuzhou Medical University&The Second People's Hospital of Lianyungang,Lianyungang 222000,CHINA)

机构地区：[1]徐州医科大学连云港临床学院(连云港市第二人民医院)医学影像科,江苏连云港222000 [2]徐州医科大学附属医院医学影像科

出　　处：《江苏医药》2024年第9期913-916,共4页Jiangsu Medical Journal

基　　金：连云港市卫生健康面上科技项目(202219);江苏大学医教协同创新基金项目(JDYY2023087)。

摘　　要：目的 分析下腔静脉型布-加综合征(BCS)患者经皮血管成形术(PTA)治疗后短期复发的磁共振血管造影(MRA)影像学危险因素。方法 回顾性分析经数字减影血管造影确诊为下腔静脉型BCS并行PTA治疗的90例患者的术前临床及MRA资料。随访12个月,记录患者复发情况。比较复发组和未复发组相关临床资料。采用多因素logistic回归分析下腔静脉型BCS患者PTA治疗后短期复发的MRA影像学危险因素。结果 90例患者中,46例复发,复发率为51.11%。与未复发组相比,复发组肝尾状叶增大、阻塞长度≥3.0cm、阻塞近端管腔最大宽度<25mm比例更高(P<0.05)。多因素logistic回归分析结果显示,肝尾状叶增大[OR=10.803,95%CI(2.749~42.460),P<0.01]、阻塞长度≥3.0cm [OR=19.471,95%CI(4.739~79.995),P<0.01]和阻塞近端管腔最大宽度<25mm [OR=3.955,95%CI(1.156~13.534),P<0.05]是下腔静脉型BCS患者PTA治疗后短期复发的独立MRA影像学危险因素。结论 肝尾状叶增大、阻塞长度≥3.0cm、阻塞近端管腔最大宽度<25mm是下腔静脉型BCS患者PTA治疗后短期复发的独立MRA影像学危险因素。Objective To analyze the magnetic resonance angiography(MRA)imaging risk factors for short-term recurrence of patients with inferior vena cava type Budd-Chiari syndrome(BCS)after percutaneous angioplasty(PTA)treatment.Methods The preoperative clinical and MRA data of 90 patients diagnosed with inferior vena cava type BCS by digital subtraction angiography and treated with percutaneous angioplasty(PTA)were retrospectively analyzed.The patients were followed up for 12 months.The clinical data of relapse group and non-relapse group were compared.Multivariate logistic regression was used to analyze the MRA imaging risk factors for the short-term recurrence of patients with inferior vena cava type BCS after PTA treatment.Results Of 90 patients,46(51.11%)cases relapsed.Compared with non-relapse group,the proportions of the patients with enlarged caudate lobe of liver,length of obstruction≥3.O cm,maximum width of proximal lumen of obstruction<25 mm were higher in relapse group(P<0.05).Multivariate logistic regression analysis showed that enlarged caudate lobe of liver[OR=10.803,95%CI(2.749-42.460),P<0.01],length of obstruction≥3.0 cm[OR=19.471,95%CI(4.739-79.995),P<0.01]and maximum width of proximal lumen of obstruction<25 mm[OR=3.955,95%CI(1.156-13.534),P<0.05]were the independent MRA imaging risk factors for short-term recurrence in patients with inferior vena cava type BCS after PTA treatment.Conclusion Enlarged caudate lobe of liver,length of obstruction≥3.O cm and maximum width of proximal lumen of obstruction<25 mm were the independent MRA imaging risk factors for short-term recurrence of patients with inferior vena cava type BCS after PTA treatment.

关 键 词：布-加综合征 磁共振血管造影 经皮血管成形术 下腔静脉阻塞 

分 类 号：R445[医药卫生—影像医学与核医学]