摘要
目的探讨彩色多普勒超声(CDFI)在巴德-吉亚利综合征的术前诊断和术后随访中的应用价值,为临床诊治提供可靠依据。方法 26例巴德-吉亚利综合征患者在术前及术后应用彩色多普勒超声检查进行诊断分析。重点检查患者的下腔静脉(IVC)、肝静脉(HV)及门脉系统,记录相应血管直径、管腔内回声、狭窄及闭塞的部位、形态、长度范围,注意彩色血流充盈状况及频谱多普勒形态。结果 26例患者中肝静脉阻塞9例,肝段下腔静脉阻塞17例,同时合并两者病变6例。全部经下腔静脉血管造影及手术确诊。24例患者术后彩色多普勒检查示血流通畅,临床疗效满意。结论彩色多普勒超声可在术前明确判断巴德-吉亚利综合征的血管阻塞部位、程度、范围及侧支循环,并可指导临床治疗和评价手术后效果。
Objective To evaluate the value of color Doppler flow imaging （CDFI） in diagnosis and follow - up of Budd- Chiari syndrome before and after operation. Methods 26 patients with Budd- Chiari syndrome were examined with CDFI before/after operation. We recorded the diameter of inferior vena cava, hepatic veins and portal vein; the echogenicity in the vessels; the location, form and length of stenesis and obstruction; color flow in the vessel and the shape of spectral Doppler. Results Hepatic vein obstruction was found in 9 patients, hepatic portion IVC obstruction was found in 17 patients, and the other 6 patients had both lesions. All 26 patients were confirmed by IVC vasography and operation. 24 patients presented free blood stream in hepatic vein and IVC with CDFI after operation. Conclusion CDFI can well evaluate the location, extent, length of obstruction in Budd- Chiari syndrome, and it is useful to guide operation and evaluate the outcome.
出处
《医学研究通讯》
2005年第10期34-35,30,共3页
Bulletin of Medical Research
