CAJ | 학술논문

目的：评价磁共振成像( MRI)在布-加综合征( BCS)诊断中的应用价值。方法：收集2003年11月至2011年5月大连医科大学附属第二医院收治的经DSA确诊的布-加综合征患者16例作为研究对象，观察MRI检查结果。结果：常规MR检查示14例肝脏体积增大、2例肝脏体积缩小，形态不规则；12例伴有脾脏肿大；13例伴有腹水。3D-DCE-MRA检查示肝静脉和/或肝段下腔静脉血管腔内瓣膜10例、血管腔内血栓3例、肝静脉和/或肝段下腔静脉外压性狭窄3例。侧支循环形成14例，其中单纯发生于肝内4例、单纯肝外6例，两者兼有4例，侧支循环血管共33处。 MR诊断与DSA确诊结果一致。结论：MRI对布-加综合征的诊断准确、全面，具有重要应用价值。
목적：평개자공진성상( MRI)재포-가종합정( BCS)진단중적응용개치。방법：수집2003년11월지2011년5월대련의과대학부속제이의원수치적경DSA학진적포-가종합정환자16례작위연구대상，관찰MRI검사결과。결과：상규MR검사시14례간장체적증대、2례간장체적축소，형태불규칙；12례반유비장종대；13례반유복수。3D-DCE-MRA검사시간정맥화/혹간단하강정맥혈관강내판막10례、혈관강내혈전3례、간정맥화/혹간단하강정맥외압성협착3례。측지순배형성14례，기중단순발생우간내4례、단순간외6례，량자겸유4례，측지순배혈관공33처。 MR진단여DSA학진결과일치。결론：MRI대포-가종합정적진단준학、전면，구유중요응용개치。
Objective:To evaluate the significance of magnetic resonance imaging ( MRI) for the diagnosis of Budd-Chiari syndrome ( BCS ) . Methods: We enrolled 16 patients with BCS confirmed by DSA who were admitted to the department of radiology, the Second Affiliated Hospital of Dalian Medical University, between November 2003 and May 2011. The MRI characteristics were then determined. Results: Routine MRI showed that, of the 16 patients with BCS, 14 developed hepatomegaly and the remaining two developed liver atrophy which was characterized by irregular appearance, and that 12 cases had hepatosplenomegaly and 13 developed abdominal ascites. The 3D-DCE-MRA demonstrated 10 cases with intravascular menbranaceous obstruction in the hepatic vein and ( or) the liver portion of inferior vena cava ( IVC) , 3 cases with intravascular thrombosis as well as 3 cases with compression obstruction hepatic vein and ( or) the liver portion of IVC. Of the 14 patients with collateral circulation, 4 had intrahepatic collateral circulation, 6 extrahepatic collateral circulation and 4 both, corresponding to 33 vessels with collateral circulation. Consequently, the diagnosis of MR matched perfectly with that of DSA. Conclusion:MRI is an important and comprehensive tool for the diagnosis of BCS.