[超声造影在诊断下腔静脉阻塞型布加综合征中的临床价值]
[Clinical value of contrast-enhanced ultrasound in the diagnosis of Budd-Chiari syndrome with inferior vena cava obstruction].
作者信息
Luo Yu-Kun, Li Jun-Lai, Wang Yue-Xiang, Wang Zhi-Li, Xu Jian-Hong, Tang Jie, Wang Mao-Qiang
机构信息
Department of Ultrasound, PLA General Hospital, Beijing 100853, China.
出版信息
Zhongguo Yi Xue Ke Xue Yuan Xue Bao. 2010 Aug;32(4):470-2. doi: 10.3881/j.issn.1000-503X.2010.04.024.
OBJECTIVE
To explore the clinical value of contrast-enhanced ultrasound (CEUS) in the diagnosis of Budd-Chiari syndrome with inferior vena cava (IVC) obstruction.
METHOD
A total of 38 patients with Budd-Chiari syndrome with IVC obstruction were examined by CEUS before and after vascular interventional management, and the results were compared with angiographic findings.
RESULTS
The location and degree of IVC obstruction were clearly showed on CEUS. Enhancement was found in the occlusion site, and blood flow was narrowed at the stenosis site. The arrival time was earlier after treatment in the IVC obstruction, and it was positively correlated with the pressure of IVC( P< 0.05).
CONCLUSION
The location and type of the occlusion and stenosis in IVC can be accurately determined by CEUS. Therefore, CEUS can provide useful information for the selection of surgical procedures and post-operative effectiveness.
目的
探讨超声造影（CEUS）在诊断布加综合征合并下腔静脉（IVC）阻塞中的临床价值。
方法
对38例布加综合征合并IVC阻塞患者在血管介入治疗前后进行CEUS检查，并将结果与血管造影结果进行比较。
结果
CEUS清晰显示IVC阻塞的部位和程度。在闭塞部位发现强化，狭窄部位血流变窄。IVC阻塞治疗后到达时间提前，且与IVC压力呈正相关（P<0.05）。
结论
CEUS可准确判断IVC阻塞和狭窄的部位及类型。因此，CEUS可为手术方案的选择及术后疗效提供有用信息。
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