布加综合征与肝小静脉闭塞病的鉴别

目的总结布加综合征与肝小静脉闭塞病的区别。方法根据国内外有关布加综合征与肝小静脉闭塞病的研究报道,结合笔者经验,对两者的区别进行综述。结果布加综合征与肝小静脉闭塞病均表现为肝后性门静脉高压症状,后期均可发展为肝硬变。临床上根据两种疾病的不同病因和相应的临床特点,大多数病例可以进行初步的判断和确诊。对于诊断不明确的病例,影像学检查（如彩超检查）可以辅助诊断,但最终的确诊需要肝穿刺活检后的病理学检查。结论布加综合征与肝小静脉闭塞病的病因、临床表现及影像学表现存在一定的差别,可利用这些差别进行鉴别诊断。

Identification Between Budd-Chiari Syndrome and Hepatic Veno-Occlusive Disease

Objective To summarize the differences between Budd-Chiari syndrome （BCS） and hepatic venoocclusive disease （HVOD）. Methods Based on the current reports about BCS and HVOD, combined with the authors＇ clinical experience, a review was performed for the 2 kinds of diseases. Results BCS and HVOD were both post-hepatic portal hypertension symptoms, and both would result in liver cirrhosis in the late phase. According to the different causes of 2 kinds of diseases clinically, and the corresponding clinical characteristics, most cases can be confirmed by the preliminary judgment. As for the cases without clear diagnosis, corresponding imaging examinations may be helpful, but the final diagnosis depended on the pathologic examination after liver biopsy. Conclusion There are some differences on the cause, clinical characteristic, and characteristic of images between the BCS and HVOD, that all of them contribute to differential diagnosis.