Budd-Chiari综合征的彩色多普勒超声诊断.pdf

中外医疗 2013 NO.2 China Foreign Medical Treatment Budd-Chiari综合征的彩色多普勒超声诊断 徐向东 郑 东 达州市中西 医结合 医 院超声科 ，四川达州 635000 [摘要 ] 目 的 探 讨 彩 色多 普 勒 超声 对 布 -加综合 征 (Budd-Chiari Syndrome,BCS) 的诊 断 价 值 。 方 法 回顾 性 分 析 经 临 床 及其 它 影像检查 证实 的 例布 加综合征的二 维 超声表现及血流变 化 特点 。 结果 肝静脉病变 型 例 ，下腔静脉病变 型 21 - ( Ⅰ )5 ( Ⅱ ) 14 例 ，肝静脉和下腔静脉混合病变 ( Ⅲ型)2 例 。 彩色多普勒超声检测出 19 例 ，漏诊 2 例 ，诊断准确率 90.5% 。 结论 彩色多 普勒超声对布 -加综合征能做出 非常 准确的诊断 ，具 有重要的临床 意义及价值 。 [关键词] 彩色多普勒超声 ；布 -加综合征 ；诊断 [中图分类号] R575 [文献标识码] A [文章编号] 1674-074２ （２０１3 ）09 （a ）－０028-02 Color Doppler ultrasound in the diagnosis of Budd-Chiari syndrome. XU Xiangdong ZHENG Dong Department of Ultrasound, Dazhou Hospital of Integrated TCM ＆Western Medicine, Dazhou , Sichuan Province, 635000, China [Abstract] Objective To explore the value of color Doppler ultrasound in the diagnosis of Budd-Chiari syndrome. Methods The characteristics of two-dimensional ultrasonography and blood flow changes of 21 cases of Budd-Chiari syndrome confirmed clini鄄 cally and by other imaging examinations were analyzed retrospectively. Results Hepatic venous lesions (type I) in 5 cases, inferior vena cava lesions (type II) in 14 cases, hepatic vein and inferior vena cava mixed lesions (type III) in 2 cases. 19 cases were diag 鄄 nosed by color Doppler ultrasound, 2 cases were missed diagnosis, the diagnostic accuracy rate was 90.5% . Conclusion Color Doppler ultrasound can diagnose Budd-Chiari syndrome accurately, which has important clinical significance and value. [Key words] Color Doppler ultrasound; Budd-Chiari s