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经脐静脉肝门静脉造影:肝脏疾病诊断的一种优越方法。

Hepatoportography via the umbilical vein: a superior approach to diagnosis in liver disease.

作者信息

White J J, Skinner G B, MacLean L D

出版信息

Can Med Assoc J. 1966 Nov 12;95(20):997-1003.

PMID:5924949
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1935796/
Abstract

The umbilical vein in adults is patent but collapsed. There is a membranous valve at its entrance into the left portal vein. Cannulation of the portal vein via the umbilical vein permits direct access to the portal system for portography and hepatography. This procedure was performed under local or general anesthesia in 30 patients and was successful in 22. It is useful in the investigation of patients with portal hypertension, and suspected intrahepatic tumours or abscesses. It gives excellent contrast visualization of the liver and definition of lesions as small as 1.0 cm. This technique is superior to both hepatic scanning and splenoportography.

摘要

成人的脐静脉是开放的,但呈塌陷状态。在其进入左门静脉处有一个膜性瓣膜。经脐静脉对门静脉进行插管可直接进入门静脉系统以进行门静脉造影和肝脏造影。该操作在30例患者中于局部或全身麻醉下进行,22例成功。它对门静脉高压、疑似肝内肿瘤或脓肿患者的检查很有用。它能使肝脏获得极佳的造影显影,并能清晰显示小至1.0厘米的病变。该技术优于肝脏扫描和脾门静脉造影。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/c3d79cfcf688/canmedaj01190-0008-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/798e24b4a359/canmedaj01190-0003-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/b01b28d2f74c/canmedaj01190-0004-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/5bf28fe92637/canmedaj01190-0004-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/43efd4695cdd/canmedaj01190-0005-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/f6b412abbf7d/canmedaj01190-0006-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/7a18b4eab9de/canmedaj01190-0006-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/f7c536ee45a7/canmedaj01190-0007-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/7098fa6d1808/canmedaj01190-0007-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/d0195e606c29/canmedaj01190-0008-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/c3d79cfcf688/canmedaj01190-0008-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/798e24b4a359/canmedaj01190-0003-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/b01b28d2f74c/canmedaj01190-0004-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/5bf28fe92637/canmedaj01190-0004-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/43efd4695cdd/canmedaj01190-0005-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/f6b412abbf7d/canmedaj01190-0006-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/7a18b4eab9de/canmedaj01190-0006-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/f7c536ee45a7/canmedaj01190-0007-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/7098fa6d1808/canmedaj01190-0007-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/d0195e606c29/canmedaj01190-0008-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cc41/1935796/c3d79cfcf688/canmedaj01190-0008-b.jpg

相似文献

1
Hepatoportography via the umbilical vein: a superior approach to diagnosis in liver disease.经脐静脉肝门静脉造影:肝脏疾病诊断的一种优越方法。
Can Med Assoc J. 1966 Nov 12;95(20):997-1003.
2
[Transumbilical portal catheterization (a study of 120 umbilical portographies)].
Rev Int Hepatol. 1967;17(8):753-68.
3
[Splenoportography and portohepatography via the umbilical vein in children with diseases of the liver and portal hypertension].[经脐静脉脾门静脉造影及门静脉肝造影在儿童肝脏疾病和门静脉高压症中的应用]
Khirurgiia (Mosk). 1967 Jun;43(6):79-84.
4
[Selective laparoscopic epiploportography].[选择性腹腔镜网膜静脉造影术]
Rev Int Hepatol. 1967;17(8):803-11.
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Transumbilical portal hepatography, a significant adjunct in the investigation of liver disease.经脐门静脉肝造影术,是肝病检查中的一项重要辅助手段。
Surgery. 1967 Mar;61(3):333-46.
6
Recanalized umbilical vein in portal hypertension.门静脉高压症中的再通脐静脉
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[Localization and evaluation of focal liver diseases by means of hepatography through reopened umbilical veins].通过重新开放的脐静脉进行肝脏造影对肝脏局灶性病变的定位与评估
Schweiz Med Wochenschr. 1970 Feb 7;100(6):280-3.
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[Laparoscopic umbilical portography].[腹腔镜脐部血管造影术]
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[Omphaloportography in hepatic exploration].[肝脏探查中的脐静脉造影术]
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Direct portal hepatography and metabolic studies via the reopened umbilical vein. Effect of vasoactive drugs on portal pressure, blood gases and lactates.经重新开放的脐静脉进行直接门静脉造影和代谢研究。血管活性药物对门静脉压力、血气和乳酸的影响。
Am Surg. 1968 Dec;34(12):852-9.

引用本文的文献

1
Preservation of the umbilical vein.保留脐静脉。
Can Med Assoc J. 1968 Jul 13;99(2):80.
2
Hemodynamic and radiological evaluation of patients with hepatic or pancreatic disease by combined umbilico-portal and systemic venous catheterization.通过联合脐门静脉和体静脉导管插入术对肝脏或胰腺疾病患者进行血流动力学和放射学评估。
Can Med Assoc J. 1968 Jan 6;98(1):16-24.
3
"Minilap": an accurate, rapid and safe approach to the diagnosis of liver disease and jaundice.“迷你腹腔镜检查”:一种准确、快速且安全的诊断肝脏疾病和黄疸的方法。

本文引用的文献

1
[THE UMBILICAL VEIN AS AN ACCESS TO THE PORTAL VEIN].[脐静脉作为门静脉的一种入路]
Union Med Can. 1965 Sep;94:1194-6.
2
THE VALUE OF SPLENOPORTOGRAPHY IN THE DIAGNOSIS OF MALIGNANT METASTASES IN THE LIVER AND IN THE ASSESSMENT OF THE OPERABILITY OF MALIGNANT TUMOURS OF THE STOMACH AND PANCREAS.脾门静脉造影术在肝脏恶性转移瘤诊断及胃癌和胰腺癌恶性肿瘤可切除性评估中的价值。
Acta Chir Scand. 1965 Jun;129:615-23.
3
[OMPHALOPORTOGRAPHY: A NEW MEANS OF INVESTIGATION OF THE PORTAL SYSTEM].[脐门静脉造影术:门静脉系统研究的一种新方法]
Ann Surg. 1973 Dec;178(6):736-44. doi: 10.1097/00000658-197312000-00010.
Minerva Med. 1965 Jan 31;56:334-6.
4
THE DUCTUS VENOSUS OF THE HUMAN LIVER.人类肝脏的静脉导管
Surg Forum. 1964;15:394-6.
5
THE USE OF THE UMBILICAL VEIN IN THE DIAGNOSIS OF UPPER GASTROINTESTINAL BLEEDING.脐静脉在诊断上消化道出血中的应用
Am J Gastroenterol. 1964 Mar;41:235-42.
6
THE UMBILICAL VEIN IN THE ADULT: DIAGNOSIS, TREATMENT AND RESEARCH.成人的脐静脉:诊断、治疗与研究
Am Surg. 1964 Jan;30:56-60.
7
[Hepatoportography by the umbilical route. A new approach to the portal system with great diagnostic, therapeutic and research possibilities].经脐途径肝门静脉造影术。一种对门静脉系统的新方法,具有巨大的诊断、治疗及研究潜力。
Rev Sanid Milit. 1959 Oct-Dec;12:42-8.
8
[A new approach to the portal vein: the umbilical vein].
Can J Surg. 1965 Oct;8(4):428-34.