【摘要】 目的探讨Budd-Chiari综合征中副肝静脉的CT、MRI表现,评价其在Budd-Chiari综合征诊断与治疗中的价值。资料与方法有CT、MRI资料的Budd-Chiari综合征病例24例(其中22例行介入诊疗),观察副肝静脉的CT、MRI表现,结合DSA表现和介入治疗方法讨论副肝静脉的临床意义。结果24例Budd-Chiari综合征患者中,20例检测到副肝静脉,显示率83.3%。典型的副肝静脉主要分布于肝VI段及临近肝组织内,表现为与下腔静脉相通的管道。结论在大多数Budd-Chiari综合征患者中CT及MRI可以直观地观察副肝静脉的形态、侧支循环情况及其与下腔静脉的交通情况,对该病的诊断、治疗方案的制定和预后判断都有重要意义。更多还原

【Abstract】 Objective To assess computed tomography (CT) and magnetic resonance imaging (MRI) findings of accessory hepatic vein in Budd-Chiari syndrome (BCS) in the diagnosis and treatment of BCS. Methods CT and MRI findings in twenty-four cases with BCS were analyzed, in which interventional procedure was performed in 22 cases subsequently. Results Accessory hepatic vein was demonstrated on CT and MRI in 20 cases (83.3%). Classic accessory hepatic vein located in the segment VI and adjacent liver and showed a vessel connecting with the inferior vena cava. Conclusions CT and MRI could directly reveal the shape and course of accessory hepatic vein, collateral circulation and communication with inferior vena cava in patients with BCS, contributing to the diagnosis, treatment and prediction of prognosis.更多还原