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特发性门静脉高压症肝静脉造影改变的解剖学基础

Anatomical basis of hepatic venographic alterations in idiopathic portal hypertension.

作者信息

Okuda K, Nakashima T, Okudaira M, Kage M, Aida Y, Omata M, Musha H, Futagawa S, Sugiura M, Kameda H

出版信息

Liver. 1981 Dec;1(4):255-63. doi: 10.1111/j.1600-0676.1981.tb00041.x.

DOI:10.1111/j.1600-0676.1981.tb00041.x
PMID:7348759
Abstract

Hepatic venograms made in 40 authentic cases of idiopathic portal hypertension (Banti's syndrome) were compared with 13 normal venograms and venograms obtained in 88 cases of cirrhosis, and analyzed in the light of the pathological changes seen in 16 postmortem liver specimens. There were frequent anastomoses between hepatic vein radicles, approximation of middle-size branches to the liver surface, reduction in the angles between the main hepatic vein and its tributaries, and difficulty in opacifying portal vein branches in wedged retrograde portography. These angiographic alterations were corroborated by gross pathological findings which comprised displacement of middle-size hepatic vein branches closer to the liver surface and their approximation among themselves, and seem to be accounted for by the disappearance of liver parenchyma secondary to the peripheral portal circulatory failure.

摘要

对40例真性特发性门静脉高压症(班替氏综合征)患者的肝静脉造影片与13例正常肝静脉造影片以及88例肝硬化患者的肝静脉造影片进行了比较,并结合16例尸检肝脏标本的病理变化进行分析。肝静脉分支间常有吻合,中等大小分支靠近肝表面,肝主静脉与其分支间夹角减小,楔入式逆行门静脉造影时门静脉分支显影困难。这些血管造影改变得到大体病理结果的证实,包括中等大小肝静脉分支向肝表面移位且相互靠近,似乎是由于外周门静脉循环衰竭导致肝实质消失所致。

相似文献

1
Anatomical basis of hepatic venographic alterations in idiopathic portal hypertension.特发性门静脉高压症肝静脉造影改变的解剖学基础
Liver. 1981 Dec;1(4):255-63. doi: 10.1111/j.1600-0676.1981.tb00041.x.
2
Hepatic venography in noncirrhotic idiopathic portal hypertension. Comparison with cirrhosis of the liver.非肝硬化性特发性门静脉高压症的肝静脉造影。与肝硬化的比较。
Radiology. 1981 Nov;141(2):303-9. doi: 10.1148/radiology.141.2.7291551.
3
Histological-venographic correlates in portal hypertension.门静脉高压症的组织学与静脉造影相关性
Radiology. 1975 Sep;116(3):565-73. doi: 10.1148/116.3.565.
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Clinical study of eighty-six cases of idiopathic portal hypertension and comparison with cirrhosis with splenomegaly.86例特发性门静脉高压症的临床研究及与脾肿大性肝硬化的比较。
Gastroenterology. 1984 Apr;86(4):600-10.
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Portographic opacification of hepatic veins and (anomalous) anastomoses between the portal and hepatic veins in cirrhosis--indication of extensive intrahepatic shunts.肝硬化时肝静脉的门静脉造影剂充盈及门静脉与肝静脉之间的(异常)吻合——提示广泛的肝内分流。
Am J Gastroenterol. 1986 Oct;81(10):975-8.
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CO(2) wedged hepatic venography in the evaluation of portal hypertension.二氧化碳楔入式肝静脉造影在门静脉高压评估中的应用
Gut. 2000 Jun;46(6):856-60. doi: 10.1136/gut.46.6.856.
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[Hepatic phlebography before and after portacaval anastomosis].[门腔静脉吻合术前后的肝静脉造影]
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Hepatic occlusion venography with a balloon catheter in portal hypertension.门静脉高压症中使用球囊导管进行肝静脉闭塞造影术。
Radiology. 1977 Mar;122(3):623-8. doi: 10.1148/122.3.623.
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[Architectural changes of the blood vessels in the hepatic lobules and reorganization of the walls of the portal vein, hepatic artery and hepatic vein in experimental portal hypertension].[实验性门静脉高压症时肝小叶内血管的结构变化及门静脉、肝动脉和肝静脉壁的重塑]
Arkh Anat Gistol Embriol. 1968;55(8):91-100.
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Liver panangiography in the assessment of portal hypertension in liver cirrhosis.肝门静脉造影术在肝硬化门静脉高压评估中的应用
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Gastric venous reconstruction after radical pancreatic surgery: case report and review of the literature.根治性胰腺手术后胃静脉重建:病例报告及文献复习。
J Gastrointest Surg. 2010 Jun;14(6):1027-30. doi: 10.1007/s11605-010-1192-0. Epub 2010 Apr 13.
3
CO(2) wedged hepatic venography in the evaluation of portal hypertension.
二氧化碳楔入式肝静脉造影在门静脉高压评估中的应用
Gut. 2000 Jun;46(6):856-60. doi: 10.1136/gut.46.6.856.
4
Chronic portal-systemic encephalopathy with normal portal vein pressure possibly due to noncirrhotic portal fibrosis.慢性门体性脑病,门静脉压力正常,可能由非肝硬化性门脉纤维化引起。
Dig Dis Sci. 1984 Jul;29(7):669-73. doi: 10.1007/BF01347302.
5
Idiopathic portal hypertension.特发性门静脉高压症
Gastroenterol Jpn. 1984 Feb;19(1):72-82. doi: 10.1007/BF02774649.