Raby N, Karani J, Meire H, Michell M, Howard E
Department of Radiology, Kings College Hospital, Denmark Hill, London.
Clin Radiol. 1989 Nov;40(6):586-90. doi: 10.1016/s0009-9260(89)80312-5.
Radiological investigation of patients with the Budd-Chiari syndrome is helpful in making the diagnosis and to determine the most suitable method of surgical decompression of the portal venous system where this is indicated. The radiological findings in four patients with Budd-Chiari syndrome who were treated by meso-atrial shunt operations are described. The key pre-operative investigation is inferior vena cavography with pressure measurements. Postoperatively shunt patency is most reliably assessed by dynamic CT scanning. Doppler ultrasound studies may detect flow within the shunt but patency may be inferred by observing reversal of blood flow within the portal vein.
布加综合征患者的放射学检查有助于做出诊断，并在需要时确定门静脉系统最合适的手术减压方法。本文描述了4例接受中房分流术治疗的布加综合征患者的放射学表现。关键的术前检查是下腔静脉造影并测量压力。术后分流的通畅情况最可靠地通过动态CT扫描来评估。多普勒超声检查可能检测到分流内的血流，但分流的通畅情况可通过观察门静脉内血流逆转来推断。
