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门静脉CTA在门静脉高压门体分流侧支血管显示中的应用
引用本文:靳勇,林晓珠,瞿晴,吴云林,陈克敏. 门静脉CTA在门静脉高压门体分流侧支血管显示中的应用[J]. 临床放射学杂志, 2008, 27(12): 1675-1679
作者姓名:靳勇  林晓珠  瞿晴  吴云林  陈克敏
作者单位:215004,苏州大学附属第二医院介入科;上海交通大学医学院附属瑞金医院放射科,200025;上海交通大学医学院附属瑞金医院消化科,200025
摘    要:目的 研究多层螺旋CT血管成像(CTA)在门静脉高压患者上腹部分流侧支血管显示中的作用. 资料与方法 对126例门静脉高压患者行门静脉系统及侧支血管的CTA检查. 结果 126例中,CTA提示各类食管静脉曲张108例(85.7%),胃底静脉曲张117例(92.9%),单纯食管静脉曲张8例(6.3%),食管静脉曲张合并胃体部静脉曲张1例(0.8%),食管静脉曲张合并胃底静脉曲张99例(78.6%),单纯胃底静脉曲张18例(14.3%).胃左静脉显示120例(95.2%),附脐静脉显示26例(20.6%),胃网膜静脉显示10例(7.9%).发现脾肾分流道4例(3.2%),胃左肾分流道35例(27.8%). 结论 门静脉CTA可以清晰显示门静脉高压患者食管、胃底静脉曲张及主要侧支血管的走行、分布,为临床治疗方案的选择和疗效的观察评估提供有价值的影像学依据.

关 键 词:多层螺旋CT  门静脉血管成像  门静脉高压

The Clinical Application of Multi-slice Spiral CT Portography to Display Collaterral Vessels in Portal Hypertension Disease
JIN Yong,LIN Xiaozhu,QU Qing,et al.. The Clinical Application of Multi-slice Spiral CT Portography to Display Collaterral Vessels in Portal Hypertension Disease[J]. Journal of Clinical Radiology, 2008, 27(12): 1675-1679
Authors:JIN Yong  LIN Xiaozhu  QU Qing  et al.
Affiliation:JIN Yong,LIN Xiaozhu,QU Qing,et al.Department of Radiology,Ruijin Hospital,Shanghai Jiaotong University,Shanghai 200025,P.R.China
Abstract:Objective To study the application of multi-slice spiral CT portography in the diagnonsis of collateral vessels due to portal hypertension. Materials and Methods 126 cases with portal hypertension were underwent MSCT portography. Results In the CT portography of 126 patients, there were 108 cases with esophagus varix, 117 cases with gastric fundus varix, 8 cases with simple esophagus varix, 99 cases with esophagus and gastric fundus varix, 1 case with esophagus and gastric body varix, 18 cases with simple g...
Keywords:Multi-slices computed tomography Portography Portal hypertension  
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