多排螺旋CT門靜脈血管成像評價肝硬變門體分流的側支血管_《中國普外基礎與臨床雜志》

作者：

吳苾 , 宋彬

四川大學華西醫院放射科（成都610041）;

關鍵詞：

肝硬變門靜脈高壓門體分流側支血管多排螺旋CT

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目的介紹多排螺旋CT三維血管成像技術及其在評價肝硬變門體分流側支循環方面的臨床應用。方法回顧性總結采用多排螺旋CT增強掃描，并通過最大密度投影、表面遮蓋顯示、容積再現等二維、三維重建技術來顯示肝硬變門脈高壓側支循環血管的文獻。結果肝硬變門體分流側支血管的分布、走行及解剖毗鄰關系在多排螺旋CT門靜脈血管成像圖像上都能得到良好、直觀的顯示。結論多排螺旋CT三維血管成像技術有利于血管走行的連續追蹤和毗鄰關系的清晰顯示，有助于肝硬變門脈高壓側支循環的診斷。

引用本文： 吳苾,宋彬. 多排螺旋CT門靜脈血管成像評價肝硬變門體分流的側支血管. 中國普外基礎與臨床雜志, 2004, 11(3): 260-262. doi: 復制

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11.	Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
12.	Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
13.	Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
14.	Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
15.	Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
16.	Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
17.	Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
18.	Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
19.	Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.

1. Kang HK, Jeong YY, Choi JH, et al. Threedimensional multidetector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis [J]. Radiographics, 2002; 22(5)∶1053.
2. 許崇永, 周翔平, 鄧開鴻, 等. 門靜脈高壓側支循環CT表現 [J]. 臨床放射學雜志, 1999; 18(5)∶280.
3. Madrazo B, Jafri SZ, Shirkdoa A, et al. Portosystemic collaterals: evaluation with colour Doppler imaging and correlation with CT and MRI [J]. Semin Intervent Radiol, 1990; 7(1)∶169.
4. Shirkhoda A, Konez O, Shetty AN, et al. Contrastenhanced MR angiography of the mesenteric circulation: a pictorial essay [J]. Radiographics, 1998; 18(4)∶851.
5. Rydberg J, Buckwalter KA, Caldemeyer KS, et al. Multisection CT: scanning techniques and clinical applications [J]. Radiographics, 2000; 20(6)∶1787.
6. Fishman EK. From the RSNA refresher courses: CT angiography: clinical applications in the abdomen [J]. Radiographics, 2001; Spec No∶S3.
7. 武洪林, 盧光明. 三維螺旋CT血管成像的臨床應用 [J]. 中國醫學影像技術, 1996; 12(2)∶150.
8. 李曉兵, 田建明, 王培軍. 多層螺旋CT門靜脈容積顯示技術三維成像 [J]. 中國醫學計算機成像雜志, 2002; 8 (1)∶28.
9. Rubin GD, Dake MD, Napel SA, et al. Threedimensional spiral CT angiography of the abdomen: initial clinical experience [J]. Radiology, 1993; 186(1)∶147.
10. Calhoun PS, Kuszyk BS, Heath DG, et al. Threedimensional volume rendering of spiral CT data: theory and method [J]. Radiographics, 1999; 19(3)∶745.
11. Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
12. Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
13. Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
14. Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
15. Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
16. Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
17. Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
18. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
19. Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.

《中國普外基礎與臨床雜志》

多排螺旋CT門靜脈血管成像評價肝硬變門體分流的側支血管

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《中國普外基礎與臨床雜志》

多排螺旋CT門靜脈血管成像評價肝硬變門體分流的側支血管

摘要 全文 圖表 視頻 參考文獻 施引文獻 補充材料

Format

Content

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