Rodgers B M, Kaude J V
J Pediatr Surg. 1981 Dec;16(6):968-71. doi: 10.1016/s0022-3468(81)80857-3.
Portasystemic anastomoses continue to play an important role in the management of children with extrahepatic and intrahepatic portal venous obstruction. Postoperative documentation of shunt patency has depended upon demonstration of early caval filling with visceral angiography. This report details the use of real-time ultrasound in the demonstration of the patency of portasystemic anastomoses in seven children. The shunts, of various anatomic configuration, have been imaged and calibrated successfully in each case. Real-time ultrasound is an accurate and noninvasive method for evaluating portasystemic anastomoses and should replace visceral angiography in most children.
门体静脉分流术在肝外和肝内门静脉梗阻患儿的治疗中继续发挥着重要作用。分流术后通畅情况的记录一直依赖于通过内脏血管造影显示早期腔静脉充盈。本报告详细介绍了实时超声在7例患儿门体静脉分流术通畅情况显示中的应用。在每例病例中,均成功对各种解剖结构的分流进行了成像和校准。实时超声是评估门体静脉分流术的一种准确且无创的方法,在大多数患儿中应取代内脏血管造影。