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彩色多普勒超声对布加综合征下腔静脉病变的诊断价值
引用本文:庞晨光,孙华丽,丁鹏绪,韩新巍.彩色多普勒超声对布加综合征下腔静脉病变的诊断价值[J].中国煤炭工业医学杂志,2012,15(5):659-661.
作者姓名:庞晨光  孙华丽  丁鹏绪  韩新巍
作者单位:1. 462400,河南省舞阳县人民医院介入治疗科
2. 462400,河南省舞阳县人民医院超声科
3. 郑州大学第一附属医院介入科
摘    要:目的探讨彩色多普勒超声对布加综合征下腔静脉病变的诊断价值。方法应用彩色多普勒超声探查布加综合征147例,并与下腔静脉造影结果比较。结果彩超显示147例中下腔静脉通畅17例,膜性狭窄55例、膜性闭塞48例,节段性狭窄1例,节段性闭塞26例,其中合并血栓20例。与下腔静脉造影结果相比彩超定性诊断符合率98.64%,准确率94.56%。结论彩色多普勒超声诊断布加综合征下腔静脉病变准确率高,应作为首选诊断方法。

关 键 词:布加综合征  下腔静脉  彩色多普勒  物理诊断

THE VALUE OF COLOR DOPPLER SONOGRAPHY IN THE DIAGNOSIS OF BUDD-CHIARI SYNDROME
Institution:Pang Chenguang,Sun Huali,Ding Pengxu,et al.Department of Radiology,People’s Hospital of Wuyang,Wuyang 462400,China
Abstract:Objective To investigate the diagnostic value of color doppler sonography on inferior vena cava in Budd-Chiari syndrome(BCS).Methods 147 cases of BCS were examined by color doppler sonography and confirmed by inferior vena cavography.Results The US showed that the types of obstruction of IVC including membranous stenosis(n=55),membranous occlusion(n=48),segmental stenosis(n=1) occlusion(n=26),thrombosis in inferior vena cava(n=20).DSA showed that the types of obstruction of IVC including membranous stenosis(n=49),membranous occlusion(n=54),segmental stenosis(n=2)and segmental occlusion(n=27),thrombosis in inferior vena cava(n=19).Conclusion Color doppler sonography should be firstly selected as the diagnostic method for BCS.
Keywords:budd-chiari syndrome  inferior vena cava  colour doppler  physical diagnosis
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