论文部分内容阅读
介入治疗Budd-Chiari综合征(BCS)是当前介入放射学的热点。本文总结我院1963年3月至1998年3月收治的73例BCS影像资料,分析影像表现,并提出特征性表现,探讨影像学检查在BCS诊治中的价值。 1 材料与方法 1.1 临床资料 ①BCS患者组:73例,男48例,女25例;年龄8～78岁,平均(37.44±14.3)岁。病程自7～26年,平均(3.7±5.8)年。主要表现为:腹胀、腹痛、肝脾肿大、胸腹壁或下肢静脉曲张,部分患者出现腹水、下肢水肿或色素沉着、溃疡。少数病例出现蛋白尿、肝性脑病、肝肾综合征等;②正常组:因怀疑BCS行血管造影示其下腔静脉及肝静脉均正常。本组10例,男5例,女5例,年龄12～59岁,平均(37.64±15.6)岁。作为对照,分析其影像特征。
Interventional treatment of Budd-Chiari syndrome (BCS) is currently a hot spot in interventional radiology. This article summarizes 73 cases of BCS image data from March 1963 to March 1998 in our hospital, analyzes the imaging performance, and presents the characteristic manifestations to explore the value of imaging examination in the diagnosis and treatment of BCS. 1 Materials and Methods 1.1 Clinical data ① BCS patients: 73 patients, 48 males and 25 females; aged 8 to 78 years, with an average (37.44 ± 14.3) years. The course of disease ranged from 7 to 26 years with an average of (3.7 ± 5.8) years. Mainly as follows: abdominal distension, abdominal pain, hepatosplenomegaly, thoracoabdominal wall or varicose veins, some patients had ascites, lower extremity edema or pigmentation, ulcers. A few cases of proteinuria, hepatic encephalopathy, hepatorenal syndrome, etc .; ② normal group: due to suspected BCS angiography shows its inferior vena cava and hepatic vein are normal. The group of 10 patients, 5 males and 5 females, aged 12 to 59 years, with an average (37.64 ± 15.6) years. As a control, analyze its image features.