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MSCT血管成像对原发性门静脉海绵样变的诊断价值
引用本文:曹院国,夏进东.MSCT血管成像对原发性门静脉海绵样变的诊断价值[J].郧阳医学院学报,2008,27(3).
作者姓名:曹院国  夏进东
作者单位:郧阳医学院附属东风总医院影像部,湖北十堰442008
摘    要:目的:探讨原发性门静脉海绵样变(PCTPV)的多排螺旋CT血管成像(MSCTA)表现及临床价值。方法:回顾性分析6例经造影或手术证实原发性门静脉海绵样变患者的MSCT血管成像,观察其特征性,并对其指导临床治疗进行了评价。结果:6例中4例清楚显示门脉主要分支近肝门处阻塞,2例门静脉主干阻塞,代之以肿块样纡曲血管并在其周围形成向肝性放射状侧支血管影像,以及离肝性侧支循环静脉。6例CT血管成像均能对与分流或断流手术有关的血管解剖提供准确信息。结论:原发性门静脉海绵样变的MSCT血管成像具有特征性,对CTPV的诊断及治疗具有重要价值。

关 键 词:门静脉  海绵样变性  多排螺旋CT  血管成像

The Diagnostic Value of Protopathic Cavernous Transformation of the Portal Vein with Multi-slice CT Angiography
CAO Yuan-guo,XIA Jin-dong.The Diagnostic Value of Protopathic Cavernous Transformation of the Portal Vein with Multi-slice CT Angiography[J].Journal of Yunyang Medical College,2008,27(3).
Authors:CAO Yuan-guo  XIA Jin-dong
Institution:CAO Yuan-guo,XIA Jin-dong (Department of Radiology,Dongfeng Hospital,Yunyang Medical College,Shiyan,Hubei 442008,China)
Abstract:Objective To observe the Multi-slice CT angiography (MSCTA) findings and explore the clinical value of Protopathic Cavernous Transformation of the Portal Vein. Methods The Multi-slice CT angiography of six cases with CTPV confirmed by DSA or operation were retrospectively analyzed.Results Among 6 cases with PCTPV,4 cases revealed occlusion of the main branch of portal vein at the hepatic hilum,2 cases revealed occlusion of the common portal vein,and a masslike network of tortuous veins around the hepatic hi...
Keywords:Portal vein  Cavernous transformation  Multi-slice Computed Tomography  Angiography  
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