多层螺旋CT与核磁共振成像对肝小静脉闭塞病的诊断价值..docVIP

多层螺旋CT与核磁共振成像对肝小静脉闭塞病的诊断价值 【摘要】 目的： 研究多层螺旋CT以及核磁共振成像在肝小静脉闭塞病诊断中的临床价值。方法： 对自2007年12月至2012年12月间来我科室就诊并接受CT及磁共振检查的60例肝小静脉闭塞病患者的一般资料进行回顾性分析。利用CT 增强及血管造影技术( DSA) 检查，分析超声波检查征象， 并将肝小静脉CT 表现与减影血管造影的分析情况相对照，进行综合性分析。结果： 在CT 图像上，所有病人都出现不同程度的损伤。经影像学检查后发现所有病人均出现肝脏不同程度的肝腹水、信号不均及体积增大一等典型表现。经病理检查证实仅有2例病人诊断结果出现失误。诊断正确率为95% 。结论： 多层螺旋CT与核磁共振成像检查具有一定的特征，有其特征性表现，在肝小静脉闭塞症的诊断治疗中有极高的正确诊断率，适合在肝小静脉闭塞症的影像学诊断中广泛应用，有助于准确诊断肝小静脉闭塞症。 【关键词】 多层螺旋CT；核磁共振成像肝；肝小静脉闭塞病 Multislice CT and magnetic resonance imaging diagnostic value of hepatic veno-occlusive disease [Abstract] Objective: Research multislice CT and MRI clinical value of hepatic veno-occlusive disease diagnosis. Methods: A retrospective analysis of the doctor come to my department and underwent CT and MRI examination period from December 2007 to December 2012 of 60 cases of hepatic veno-occlusive disease patients were general information. Enhanced use of CT and angiography (DSA) examination, analysis ultrasound signs and CT findings of hepatic venules and analysis of the situation subtraction angiography contrast, a comprehensive analysis.Results: On CT images, all patients with varying degrees of damage. After imaging the liver occurred in all patients found varying degrees of liver ascites, uneven and volume increases signal typical first-class performance. Pathological examination confirmed the diagnosis is only 2 patients mistakes. The diagnostic accuracy was 95%. Conclusion: Multislice CT and magnetic resonance imaging have certain characteristics, has its characteristic features, has a high diagnostic accuracy in the diagnosis and treatment of hepatic veno-occlusive disease, and suitable for imaging diagnosis of hepatic veno-occlusive disease in widely used to help accurately diagnose hepatic veno-occlusive disease. [Keywords] Multislice spiral CT; Magnetic resonance imaging of liver; Hepatic veno-occlusive disease 肝小静脉闭塞症（HVOD）又称为肝窦阻塞综合征，是以肝小叶区肝窦非血栓性闭塞为特征少见的疾病，以黄疸、肝细胞萎缩、弥漫性肝纤维化、肝区疼痛、肝脏肿大 和腹腔积液为主要体征的临床疾病，45 ％以上患者可以康复， 25 ％的患者死于肝功能衰竭