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胰源性门静脉高压症的多排螺旋CT表现
引用本文:赵丽琴,贺文.胰源性门静脉高压症的多排螺旋CT表现[J].中国医学影像技术,2008,24(6):916-919.
作者姓名:赵丽琴  贺文
作者单位:首都医科大学附属北京友谊医院放射科,北京,100050
基金项目:北京市教委科技发展计划
摘    要:目的 应用多排螺旋CT门静脉成像技术研究胰源性门静脉高压症的侧支循环特点.方法 回顾性分析72例胰源性门静脉高压症的多排螺旋CT门静脉成像图像,研究其胃静脉曲张的部位、形态及侧支循环特点.结果 胰源性门静脉高压症胃静脉曲张以孤立型胃静脉曲张多见(88.89%),形态为多纡曲状(88.89%),胃周静脉以胃网膜静脉曲张为特征(100%).结论 胰源性门静脉高压症在多排螺旋CT门静脉成像上可表现出相应的特征,具有很好的诊断和鉴别诊断价值.

关 键 词:胰腺疾病  门静脉  高血压  静脉造影术  体层摄影术  X线计算机  胰源性门静脉高压症  多排螺旋  表现  detector  portal  hypertension  鉴别诊断价值  特征  胃静脉曲张  胃网膜  纡曲  结果  形态  技术研究  图像  分析  方法  侧支循环  门静脉成像  应用
文章编号:1003-3289(2008)06-0916-04
收稿时间:2007/12/3 0:00:00
修稿时间:2007年12月3日

The manifestation of pancreatic portal hypertension onmulti-rows detector CT
ZHAO Li-qin and HE Wen.The manifestation of pancreatic portal hypertension onmulti-rows detector CT[J].Chinese Journal of Medical Imaging Technology,2008,24(6):916-919.
Authors:ZHAO Li-qin and HE Wen
Institution:Department of Radiology, Beijing Friendship Hospital Affiliated to Capital University of Medical Science, Beijing 100050, China;Department of Radiology, Beijing Friendship Hospital Affiliated to Capital University of Medical Science, Beijing 100050, China
Abstract:Objective To investigate the manifestation of pancreatic portal hypertension (PPH) with multi-rows detector CT and CT portal venography (CTPV). Methods The images of multi-slices CT and CTPV of 72 patients with pancreatic portal hypertension were analyzed retrospectively. The gastric varices' locations, types of shape and characteristics of circulation were studied. Results The majority types of the gastric varices' location and shape were isolated gastric varices (88.89%)and circuity (88.89%) respectively in PPH. The varices of gastro-epiploic veins (100%) is one of the characteristics of vein collateral circulation. Conclusion In PPH patients, valuable features can be revealed by multi-slices CTPV, which were useful in diagnosis and differential diagnosis.
Keywords:Pancreatic disease  Portal  Hypertension  Venography  Tomography  X-ray computed
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