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门静脉高压症中肝外门静脉分流途径的图谱：影像学综述配图

Spectrum of hepatofugal collateral pathways in portal hypertension: an illustrated radiological review.

作者信息

Arora Ankur, Rajesh S, Meenakshi Yamini S, Sureka Binit, Bansal Kalpana, Sarin Shiv Kumar

机构信息

Department of Radiology, Institute of Liver & Biliary Sciences, D-1 Vasant Kunj, New Delhi, 110070, India.

Department of Hepatology, Institute of Liver & Biliary Sciences, D-1, Vasant Kunj, New Delhi, 110070, India.

出版信息

Insights Imaging. 2015 Oct;6(5):559-72. doi: 10.1007/s13244-015-0419-8. Epub 2015 Sep 4.

DOI:10.1007/s13244-015-0419-8
PMID:26337049
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4569600/
Abstract

The purpose of this article is to describe the various portosystemic collateral pathways pertinent to portal hypertension on multi-detector row computed tomography (MDCT) and their clinical relevance, with special emphasis on the uncommon ones. The knowledge and understanding of the various patterns of portosystemic collateral channels has important implications both for the clinician and the interventionist. MDCT with its advanced post processing capabilities can exquisitely demonstrate these vascular pathways to help in therapeutic decision making. Teaching points • Portosystemic collaterals are an important cause of bleeding and hepatic encephalopathy. • Radiologists should be familiar with the imaging findings to effectively identify them. • Pre-operative knowledge of portosystemic collaterals is essential to avoid inadvertent vascular injury.

摘要

本文旨在描述在多排探测器计算机断层扫描（MDCT）上与门静脉高压相关的各种门体侧支循环途径及其临床相关性，特别强调那些不常见的途径。了解和认识门体侧支循环通道的各种模式，对临床医生和介入医生都具有重要意义。MDCT凭借其先进的后处理能力，能够精准地显示这些血管途径，有助于进行治疗决策。教学要点 • 门体侧支循环是出血和肝性脑病的重要原因。 • 放射科医生应熟悉影像学表现，以便有效识别它们。 • 术前了解门体侧支循环对于避免意外血管损伤至关重要。

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