【摘要】 目的:提高临床医生对布加-综合征的认识,减少误诊。方法:对56例布-加综合征患者的临床资料及误诊情况进行回顾分析。结果:56例患者发病率男女之比为1.4∶1.0,发病年龄20~70岁,病程0.5~25年;临床主要表现有腹胀、双下肢水肿和肝肿大;辅助检查方法主要是彩色多普勒超声和下腔静脉造影;25例X线引导下带囊导管破膜扩张、血管内支架植入术;35例曾被误诊,误诊肝硬化30例,单纯下肢静脉曲张3例,腹腔肿瘤2例。结论:应重视布-加综合征的临床特点,早期诊断,积极行介入治疗,可减少误诊,改善患者预后。更多还原

【Abstract】 Objective:To improve the the doctors′ recognition in Budd-Chiari syndrome and reduce the misdiagnosis.Methods:The clinical data of 56 cases of Budd-Chiari syndrome from 2007 to 2010 were analyzed retrospectively.Results:This study consisted of 33 males and 23 females aged from 20 to 70 with a disease course of 6 months to 25 years.The clinical symptoms primarily included abdominal distension,double leg edema and liver enlargement;the auxiliary examination methods mainly included color Doppler ultrasound and inferior vena cava imaging.Twenty-five cases were treated by PTA and STENT;30 cases had been misdiagnosed as liver cirrhosis.Conclusions:The clinical features of Budd-Chiari syndrome should be noticed to reduce misdiagnosis.Early diagnose and active treatment may effectively improve the prognosis of the patients.更多还原