摘要
目的探讨Budd—Chiari综合征（BCS）的彩色多普勒超声图像特点和超声诊断分型，以利于选择治疗方式。方法回顾性分析126例BCS患者的临床资料，全部患者经血管造影、介入或手术治疗证实。根据彩色多普勒超声图像特征进行分型。结果根据彩色多普勒超声图像特点，将BCS分为8型：I型，不完全性下腔静脉隔膜，30例；II型，完全性下腔静脉隔膜，3例；III型，下腔静脉狭窄，8例；IV型，下腔静脉阻塞，3例；V型，大肝静脉狭窄，20例；VII型，大肝静脉阻塞，15例；Ⅶ型，小肝静脉广泛性阻塞，9例；Ⅷ型，混合型病变，38例。结论彩色多普勒超声检查能良好显示下腔静脉、肝静脉狭窄或阻塞的性质、部位、程度及血流动力学变化，对BCS的诊断分型准确可靠。
Objective To study the color Doppler ultrasound image characteristics and ultrasonic diagnosis classification of Budd-Chiari syndrome （BCS）, so as to facilitate the treatment choice. Methods The clinical material of 126 BCS patients were retrospectively analyzed. All patients were proved by angiography,intervention or surgical treatment, and were classified according to the main color Doppler ultrasound images. Results According to the image characteristics of color Doppler ultrasound,BCS patients were divided into eight types： type I , incomplete membrane of inferior vena cava in 30 cases; type II , complete membrane of inferior vena cava in 3 cases;type III ,stenosis of inferior vena cava in 8 patients;type IV ,inferior vena cava obstruction in 3 patients;type V ,stenosis of big hepatic vein in 20 cases; type VI, big hepatic vein obstruction in 15 eases;type VII, extensive obstruction of small hepatic vein in 9 cases;type VIII, 38 cases of mixed lesions. Conclusions Color Doppler ultrasound can display the stenosis or obstruction of the inferior vena cava, hepatic vein with property, position, degree and the hemodynamic changes, which are accurate and reliable to the diagnosis and classification of BCS.
出处
《中华超声影像学杂志》
CSCD
北大核心
2012年第3期205-208,共4页
Chinese Journal of Ultrasonography
