Zu Maoheng, Xu Hao, Zhang Qingqiao, Gu Yuming, Wei Ning, Xu Wei, Cui Yanfeng, Liu Hongtao
Department of Interventional Radiology, The Affiliated Hospital of XuZhou Medical University, Province Jiangsu, PR China.
J Interv Med. 2020 Mar 31;3(2):65-76. doi: 10.1016/j.jimed.2020.03.002. eCollection 2020 May.
This study aims to report the Budd-Chiari syndrome clinical research status and progress that has occurred in over nearly 30 years in China, and emphasize the value of imaging in facilitating the diagnosis of Budd-Chiari syndrome based on more than 2500 cases. Findings on ultrasonography, computed tomography, magnetic resonance imaging, and digital subtraction angiography images are used to propose new Budd-Chiari syndrome types and subtypes. The new subtype classification presented here has important value for guiding interventional treatment. This study also proposes a new concept of anatomical and functional obstruction of hepatic vein that stresses the compensatory value of accessory hepatic vein and azygos vein and describes the risk of manipulation of the communication branch of inferior vena cava obstruction in interventional therapy.
本研究旨在报告中国近30年来布加综合征的临床研究现状与进展,并基于2500余例病例强调影像学在布加综合征诊断中的价值。利用超声、计算机断层扫描、磁共振成像及数字减影血管造影图像的表现,提出布加综合征新的类型和亚型。本文提出的新亚型分类对指导介入治疗具有重要价值。本研究还提出了肝静脉解剖和功能梗阻的新概念,强调了副肝静脉和奇静脉的代偿价值,并描述了介入治疗中腔静脉梗阻交通支操作的风险。