| 肝静脉阻塞型布-加综合征误诊误治原因分析 |
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| 引用本文： | 田浩,徐浩,李国均,祖茂衡.肝静脉阻塞型布-加综合征误诊误治原因分析[J].介入放射学杂志,2008,17(11):769-772. |
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| 作者姓名： | 田浩 徐浩 李国均 祖茂衡 |
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| 作者单位： | 徐州医学院附属医院介入科,江苏,221000;徐州医学院附属医院介入科,江苏,221000;徐州医学院附属医院介入科,江苏,221000;徐州医学院附属医院介入科,江苏,221000 |
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| 摘 要： | 目的 探讨肝静脉阻塞型布-加综合征(HVBCS)临床症状、影像学特征及误治分析.方法 13例误治的HVBCS患者,5例行下腔静脉球囊扩张术,8例行下腔静脉支架植入.分析13例患者临床症状、体征及影像学资料,经DSA造影进一步证实后予肝静脉成形术.结果 所有患者均有不同程度的门静脉高压表现,无明显下腔静脉阻塞症状.CT或(和)MRI示肝尾状叶明显增大,DSA示下腔静脉呈外压性狭窄.13例均成功实施肝静脉成形术;其中4例行单纯PTA,9例行PTA 支架,术后所有患者临床症状与体征完全消失或明显改善.结论 HVBCS的下腔静脉狭窄不是其本身病变,而是肝尾状叶代偿性增大压迫所致.肝静脉成形术是一种正确的、安全、有效的治疗方法.
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| 关 键 词： | 肝静脉血栓形成 影像学特征 血管成形术 |
The analysis of misdiagnosis and mistreatment in Budd-Chiari syndrome with hepatic vein obstruction |
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| TIAN Hao,XU Hao,LI Guo-jun,ZU Mao-heng.The analysis of misdiagnosis and mistreatment in Budd-Chiari syndrome with hepatic vein obstruction[J].Journal of Interventional Radiology,2008,17(11):769-772. |
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| Authors: | TIAN Hao XU Hao LI Guo-jun ZU Mao-heng |
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| Institution: | TIAN Hao,XU Hao,LI Guo-jun,ZU Mao-heng. Department of Radiology,Affiliated Hospital,Xuzhou Medical College,Xuzhou 221002,China |
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| Abstract: | Objective To investigate the clinical symptoms and imaging features of Budd-Chiari syndrome with hepatic vein obstruction (HVBCS) and the reasons of mistreatment. Methods Thirteen patients with HVBCS were misdiagnosed and mistreated as inferior vena cava (IVC) obstruction,including 8 patients treated with stent implantation in IVC once and 5 patients with balloon dilatation. After analysis of the clinical symptoms,signs and imaging features; hepatic vein obstruction was further confirmed by digital subtract... |
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| Keywords: | Hepatic vein thrombosis Imaging features Angioplasty |
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