[产褥期血栓性静脉炎与卵巢静脉并延伸至下腔静脉]
[Puerperal thrombophlebitis and the ovarian vein with extension to the inferior vena cava].
作者信息
Ranchoup Y, Thony F, Dal Soglio S, Farah I, Bosson J L, Villar C, Coulomb M, Ferretti G
机构信息
Service Central de Radiologie et Imagerie Médicale, CHU Grenoble.
出版信息
J Radiol. 1998 Feb;79(2):127-31.
PURPOSE
To assess US, CT and MR findings in women having puerperal ovarian vein thrombosis with clot protrusion into the inferior vena cava.
PATIENTS, MATERIAL AND METHODS: We retrospectively reviewed the duplex US (n = 9), CT (n = 5) and MR (n = 5) examinations of 9 patients with 8 right ovarian vein thrombosis, and one left ovarian vein thrombosis.
RESULTS
US findings allowed for the diagnosis of ovarian vein thrombosis in all patients in showing enlarged tubular echogenic thrombus within the retroperitoneum with clot protrusion in the IVC in all cases. CT scan and MRI demonstrated ovarian vein thrombosis in all the cases in which it was performed but failed to show a mobile thrombus within the IVC in one patient.
CONCLUSION
Duplex US is a reliable technique to show puerperal ovarian vein thrombosis and its extension to the IVC. CT scan and MR imaging can be used to precise the extension to the IVC.
目的
评估产后卵巢静脉血栓形成且血栓突入下腔静脉的女性患者的超声、CT及磁共振成像（MR）表现。
患者、材料与方法：我们回顾性分析了9例患者的双功超声检查（n = 9）、CT检查（n = 5）及MR检查（n = 5），其中8例为右侧卵巢静脉血栓形成，1例为左侧卵巢静脉血栓形成。
结果
超声检查结果可诊断所有患者的卵巢静脉血栓形成，表现为腹膜后管状回声增强的血栓增大，所有病例均有血栓突入下腔静脉。CT扫描和MRI在所有进行检查的病例中均显示卵巢静脉血栓形成，但有1例患者未能显示下腔静脉内的活动血栓。
结论
双功超声是显示产后卵巢静脉血栓形成及其延伸至下腔静脉的可靠技术。CT扫描和MR成像可用于明确血栓延伸至下腔静脉的情况。
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