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[下腔静脉奇静脉直接延续。关于3例应用核磁共振研究]

[Straight azygos continuation of the inferior vena cava. Apropos of 3 cases using an NMR study].

作者信息

Coulomb M, Rose-Pittet L, Dalsoglio S, Lebas J F, Paillasson F, Gros C, Borot C

出版信息

J Radiol. 1987 Jan;68(1):45-50.

PMID:3560029
Abstract

Three patients with straight azygos vein continuation of inferior vena cava (IVC) were studied by nuclear magnetic resonance (NMR) imaging. In all three cases the diagnosis had been established previously by ultrasound and/or computed tomography imaging, but NMR images provided better anatomical precision of the venous anomaly : visualization of the total trajectory of the major azygos vein, the caliber of which can exceed that of aorta, and absence of retrohepatic segment of IVC but presence of a short supradiaphragmatic segment towards which converge the suprahepatic veins; anastomotic etwork between IVC and major azygos vein contributing to ensure continuity of venous drainage superior to its renal segment. The advantages of NMR are described and the precise diagnostic role of this new method of imaging in the diagnosis of this type of anomaly discussed.

摘要

对3例下腔静脉(IVC)奇静脉直接延续的患者进行了核磁共振(NMR)成像研究。在所有3例中,先前已通过超声和/或计算机断层扫描成像确诊,但NMR图像能更精确地显示静脉异常的解剖结构:清晰显示奇静脉主干的完整走行,其管径可超过主动脉;下腔静脉肝后段缺如,但存在一小段膈上肝上段,肝上静脉向此汇聚;下腔静脉与奇静脉主干之间的吻合网络有助于确保肾段以上静脉引流的连续性。文中描述了NMR的优势,并讨论了这种新成像方法在诊断此类异常中的精确诊断作用。

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