【作者】 敖康健； 柯昌征； 丁德平； 马德强； 张银华； 孟忠吉； 陈悦；

【Author】 AO Kang-jian;KE Chang-zheng;DING De-ping;Ma De-qiang;Zhang Yin-hua;MENG Zhong-ji;CHEN Yue;Department of Infectious Diseases,Affiliated of Taihe Hospital of Hubei University of Medicine;

【机构】 十堰市太和医院(湖北医药学院附属医院)感染科；

【摘要】 目的探讨肝小静脉闭塞病(HVOD)的诊断方法。方法回顾性分析15例肝小静脉闭塞病的临床和病理资料。结果 15例CT平扫表现为肝脏增大,肝实质密度均匀减低,增强呈"地图状"强化,门脉期明显;所有病例肝静脉及下腔静脉肝段变细,肝静脉显示欠清晰。病理学表现为肝窦淤血、扩张,肝细胞出现不同程度变性、坏死。结论病理检查对确诊肝小静脉闭塞病影像诊断有重要价值。CT增强检查是诊断肝小静脉闭塞病的有效方法。更多还原

【Abstract】 AIM To discuss the clinical experiences in the diagnosis of fifteen hepatic veno-occlusive disease(HVOD).METHODS The clinical data of 15 patients with hepatic veno-occlusive disease were analyzed retrospectively.RESULTS According to the results of imaging examination,clinical date,CT scanning showed liver volume increasing and liver parenchyma density decreasing homogeneously or inhomogeneously,and the enhancement scanning showed map-shaped enhancement,especially in portal phase.Hepatic veins and the hepatic segment of inferior vena cava were showed thinner,and the hepatic vein could not be showed clearly.The characteristic histological changes included hepatic congestion,sinusoidal dilatation,hepatocyte necrosis.CONCLUSION:Liver biopsy is importantly valuable for assessing HVOD.Dynamic enhanced CT was an efficient method for the diagnosis of hepatic veno-occlusive disease.更多还原