CAJ | 학술논문

目的：探讨特发性门静脉高压症（ Idiopathic Portal Hypertension Syndrome ，IPH） CT及MR影像特点，评价CT、MR检查对IPH诊断及分期的临床价值。方法对26例IPH患者进行CT或MR检查，观察肝脏表面、肝脏大小、形态及各叶比例、脾脏大小及肝内外门静脉系统等。结果26例患者中，肝脏表面光滑、形态规整者19例，肝表面欠光滑、形态欠规整者7例，肝左叶明显增大2例，肝尾叶增大4例，肝左叶缺如2例，门脉海绵样变12例，门脉系统血栓8例，食道、食道旁、胃底及胃冠状静脉、脾静脉曲张21例，腹水4例，26例患者脾脏均增大。结论临床上原因不明的门脉高压伴脾脏增大、门脉侧枝开放及门脉海绵样变的患者可提示IPH，并给予分期。
목적：탐토특발성문정맥고압증（ Idiopathic Portal Hypertension Syndrome ，IPH） CT급MR영상특점，평개CT、MR검사대IPH진단급분기적림상개치。방법대26례IPH환자진행CT혹MR검사，관찰간장표면、간장대소、형태급각협비례、비장대소급간내외문정맥계통등。결과26례환자중，간장표면광활、형태규정자19례，간표면흠광활、형태흠규정자7례，간좌협명현증대2례，간미협증대4례，간좌협결여2례，문맥해면양변12례，문맥계통혈전8례，식도、식도방、위저급위관상정맥、비정맥곡장21례，복수4례，26례환자비장균증대。결론림상상원인불명적문맥고압반비장증대、문맥측지개방급문맥해면양변적환자가제시IPH，병급여분기。
Objective To investigate idiopathic portal hypertension CT and MR imaging characteristics , evaluation of Ct and MR , the clinical value of examination in the the IPH diagnosis and staging .Methods 26 cases of patients with IPH CT or MR examination, observation of the surface of the liver , liver size, shape, and each leaf ratio, spleen size and liver inside and outside the portal vein system .Results 6 patients, liver smooth surface morphological rules , 19 ca-ses of liver surface less smooth shape due to the regular seven cases , the left lobe of the liver was significantly increased two cases, the caudate lobe increases four cases , the left hepatic lobe agenesis 2cases of portal vein cavernous change the 12 cases, eight cases of portal system thrombosis , esophagus, food road, fundus and gastric coronary vein , splenic vari-ces 21 cases, ascites 4 cases of 26 patients with spleen increases .Conclusions The unexplained clinical portal hyper-tension with splenomegaly , portal collateral open and cavernous transformation of the portal , patients can prompt IPH and given to installment.