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TIPS术前MRA评价
引用本文:郭立,杨达宽,袁曙光,闫东,王家平. TIPS术前MRA评价[J]. 临床放射学杂志, 2010, 29(3)
作者姓名:郭立  杨达宽  袁曙光  闫东  王家平
作者单位:云南省昆明医学院第二附属医院放射科,650101
摘    要:
目的探讨磁共振血管成像(MRA)在经颈静脉肝内门腔分流术(TIPS)前检查中的作用。资料与方法对59例拟行TIPS治疗的患者行术前MRA检查,观察引起门静脉高压的病因、肝静脉及门静脉形态、走行,并测量穿刺点处血管管径。结果肝硬化49例、肝硬化合并肝癌4例、门静脉血栓3例、脾静脉狭窄1例、布-加综合征2例;肝静脉分型:三支型占24.6%、两支型占68.4%、一支型占7.0%。肝右静脉、肝中静脉、肝左静脉穿刺点管径符合率分别为91.2%、70.1%、49.1%;门静脉右支和左支安全穿刺点分别位于(14.7±4.2)mm、(12.4±5.3)mm以远。结论动态增强MRA(DCEMRA)是一种有价值无损伤的检查方法,对TIPS术前疾病诊断及血管定位有着重要的意义。

关 键 词:经颈静脉肝内门腔分流术  磁共振血管成像  评价  

Assessment of Vascular Puncture site Before TIPS with MRA
GUO Li,YANG Dakuang,YUAN Shuguang,et al.. Assessment of Vascular Puncture site Before TIPS with MRA[J]. Journal of Clinical Radiology, 2010, 29(3)
Authors:GUO Li  YANG Dakuang  YUAN Shuguang  et al.
Affiliation:GUO Li,YANG Dakuang,YUAN Shuguang,et al.Department of Radiology,the Second Affiliated Hospital of Kunming Medical College,Kunming 650101,P.R.China
Abstract:
Objective To explore the role of MRA in the evaluation of vascular puncture sites before TIPS.Materials and Methods 59 cases were examined with preoperative MRA examination to observe the cause of portal hypertension,the patterns and shapes of liver and portal vein.The diameter of puncture site were measured on MRA.Results There were 49 cases of liver cirrhosis,4 cases of liver cirrhosis with hepatocellular carcinoma,3 cases of portal vein thrombosis,1 cases of splenic vein stenosis,2 cases of Budd Chiari i...
Keywords:Transjugular intrahepatic portosystemic shunt MR Angiography Evaluation  
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