摘要
目的探讨结彩超对布加氏综合征的诊断价值。方法应用彩色多普勒超声对31例布加氏综合征的超声表现特征及诊断结果进行分析,并对误诊原因进行探讨。结果下腔静脉阻塞型22例,肝静脉阻塞型9例,全部经院外血管造影或手术确诊。下腔静脉阻塞型组,B超诊断17例(77.2%),彩超诊断22例(100%);肝静脉阻塞型组,B超诊断1例(11.1%),彩超诊断6例(66.6%)。B超诊断符合率58.1%,彩超诊断符合率90.3%。结论彩色多普勒超声可准确提供血管阻塞的部位、范围、类型、原因、梗阻程度及有否侧枝循环建立,对临床尽快明确诊断、选择治疗方法和疗效观察等具有重要价值,可作为基层医院诊断布加氏综合征的首选方法。
Objective To summarize the value of color ultrasonic on Buddchiari syndrome.Methods 31 cases of the Buddchiari Syndrome were treated with color Doppler ultrasonography to analyze the ultrasonographic characteristics and the reasons of misdiagnosis.Results There were 22 cases of vena cava inferior obstruction and 9 cases of vena hepatica obstruction.For the group of vena cava inferior obstruction,17 cases（77.2%）diagnosed with type-B ultrasonographic diagnosis and 22 cases（100%）diagnosed with color ultrasonographic diagnosis.For the group of vena hepatica obstruction,1 case（11.1%）diagnosed with type-B ultrasonographic diagnosis and 6 cases（66.6%）diagnosed with color ultrasonographic diagnosis.The diagnostic accordance rate of type-B ultrasonography was 58.1% and that of color ultrasonography was 90.3%.Conclusion Color Doppler ultrasonography is able to precisely provide the position,range,type,reason and degree of obstruction and whether collateral circulation has been established or not,which renders important value for timely diagnostic confirmation,the choosing of therapies and observation of therapeutic effects.
出处
《西部医学》
2010年第8期1508-1509,共2页
Medical Journal of West China
关键词
彩色多普勒超声
布加氏综合征
误诊
Color Doppler Ultrasonography
Buddchiari Syndrome
Misdiagnosis
