Zerbib M, Pinto P, Bonnin A, Garrigues C, Al Dahdah H, Chapuis Y
Presse Med. 1985 Jan 26;14(3):143-6.
Ultrasonography was used to evaluate the patency of portocaval shunts in 9 patients: 2 with spleno-renal anastomosis, 4 with portocaval truncular anastomosis, 2 with mesenteric-caval shunt and 1 with atypical shunt. The shunt count be demonstrated in 7 of these 9 patients. Angiography was performed in 6 cases and confirmed the results of ultrasonography--a finding favourable to the latter method and in agreement with those of other authors. However, the usefulness of ultrasonography varies according to the type of shunt created, as shown by our own experience and by published reports: 70% of portocaval truncular shunts, 65% of spleno-renal shunts and 46% of mesenteric-caval shunts are demonstrable by ultrasounds, these variations being due to differences in location and accessibility to the ultrasonic examination. It ultrasonography fails to display the anastomosis, it may provide indirect signs of patency. In addition to being harmless and relatively inexpensive, ultrasonography is a valuable method for evaluating portocaval shunts. It can easily be repeated and its results need not be confirmed by angiography.
超声检查用于评估9例患者的门腔分流术通畅情况：2例脾肾吻合术，4例门腔静脉干吻合术，2例肠系膜-腔静脉分流术，1例非典型分流术。这9例患者中有7例可显示分流情况。对6例患者进行了血管造影，结果证实了超声检查的结果——这一结果有利于超声检查方法，且与其他作者的结果一致。然而，根据我们自己的经验和已发表的报告，超声检查的有效性因所建立的分流类型而异：70%的门腔静脉干分流术、65%的脾肾分流术和46%的肠系膜-腔静脉分流术可通过超声显示，这些差异是由于位置和超声检查的可及性不同所致。如果超声检查未能显示吻合情况，它可能提供通畅的间接征象。除了无害且相对便宜外，超声检查是评估门腔分流术的一种有价值的方法。它可以很容易地重复进行，其结果无需通过血管造影来证实。
