McCain A H, Bernardino M E, Sones P J, Berkman W A, Casarella W J
Radiology. 1985 Jan;154(1):63-9. doi: 10.1148/radiology.154.1.3964954.
Two hundred abdominal CT and angiographic examinations were performed on 137 patients with portal hypertension. These patients were being evaluated before or after a distal splenorenal shunt. CT increased the detection of umbilical and retroperitoneal varices. Angiography better detected peripancreatic varices and cavernous transformation. Both modalities together added more information than either alone in identification of coronary and/or gastroesophageal, retrogastric, and perisplenic-mesenteric varices. This additional anatomic information helped in the patient's management pre- and postoperatively.
对137例门静脉高压患者进行了200次腹部CT和血管造影检查。这些患者在远端脾肾分流术前后接受评估。CT提高了脐周和腹膜后静脉曲张的检出率。血管造影能更好地检测胰周静脉曲张和海绵样变性。在识别冠状静脉和/或胃食管、胃后及脾周肠系膜静脉曲张方面,两种检查方式联合提供的信息比单独一种更多。这些额外的解剖学信息有助于患者术前和术后的管理。