CAJ | 학술논문

目的探讨中国河南省Budd-Chiari综合征患者肝静脉阻塞和下腔静脉阻塞病变的分布特点.方法应用3种血管成像技术,彩色多普勒超声、CTA和MRA检查,经DSA证实的Budd-Chiari综合征患者231例,对影像结果进行分析,分析清晰显影的主肝静脉、副肝静脉和下腔静脉走行与阻塞部位分布特点.结果 231例中肝静脉分支都正常的单纯性下腔静脉阻塞5例,占2.2%;下腔静脉正常的单纯性肝静脉阻塞33例,占14.3%;下腔静脉和肝静脉同时阻塞的193例,占83.5%.结论中国河南地区Budd-Chiari综合征以下腔静脉阻塞合并肝静脉阻塞的复合型病变最多见,而单纯性下腔静脉阻塞最少见.
목적 탐토중국하남성Budd-Chiari종합정환자간정맥조새화하강정맥조새병변적분포특점.방법 응용3충혈관성상기술,채색다보륵초성、CTA화MRA검사,경DSA증실적Budd-Chiari종합정환자231례,대영상결과진행분석,분석청석현영적주간정맥、부간정맥화하강정맥주행여조새부위분포특점.결과 231례중간정맥분지도정상적단순성하강정맥조새5례,점2.2%;하강정맥정상적단순성간정맥조새33례,점14.3%;하강정맥화간정맥동시조새적193례,점83.5%.결론 중국하남지구Budd-Chiari종합정이하강정맥조새합병간정맥조새적복합형병변최다견,이단순성하강정맥조새최소견.
Objective To investigate the distribution of the obstructive lesion of hepatic vein and inferior cava vein in patients with Budd-Chiari syndrome in Henan Province of China.Methods A total of 231 cases with Budd-Chiari syndrome were diagnosed by combination of three imaging techniques which either included colour Dopple ultrasound,multislice CT and vasography or colour Dopple ultrasound,MR angiography and vasography.All the hepatic veins,accessory hepatic veins and inferior vena cavae were imaged and their obstructions were detected and analysed.Results Out of the 231 patients there were 5 cases(2.2%)with simple obstruction of inferior vena cava with normal hepatic branches.Thirty-three cases(14.3%)had simple hepatic vein obstruction with normal inferior vena cava.The remaining 193(83.5%)cases had vein obstruction both in hepatic vein and inferior vena cava.Conclusion The most frequent form of Budd-Chiari symdrome in Henan province of China is the complex obstruction of inferior vena cava and heptic vein,and simple obstruction of inferior vena cava occurs the least.