[1]华如升,张建军,葛焕祥,等.国人急慢性Budd-Chiari综合征患者临床和MRI特征对比[J].介入放射学杂志,2020,29(05):458-461.
HUA Rusheng,ZHANG Jianjun,GE Huanxiang,et al.Comparison of clinical features and MRI manifestations between acute and chronic Budd- Chiari syndrome in Chinese patients[J].journal interventional radiology,2020,29(05):458-461.
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国人急慢性Budd-Chiari综合征患者临床和MRI特征对比()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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29
- 期数:
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2020年05
- 页码:
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458-461
- 栏目:
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血管介入
- 出版日期:
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2020-05-25
文章信息/Info
- Title:
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Comparison of clinical features and MRI manifestations between acute and chronic Budd- Chiari syndrome in Chinese patients
- 作者:
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华如升; 张建军; 葛焕祥; 张 婧
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- Author(s):
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HUA Rusheng; ZHANG Jianjun; GE Huanxiang; ZHANG Jing.
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Department of Radiology, Zhejiang Hospital, Hangzhou, Zhejiang Province 310013, China
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- 关键词:
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【关键词】 急慢性; Budd- Chiari综合征; 磁共振成像; 特征对比
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨国人急慢性Budd- Chiari综合征(BCS)患者临床和磁共振成像(MRI)特征差异。方法 回顾性收集浙江医院收治的78例BCS患者临床和MRI资料。根据病程是否≤6个月,将患者分为急性组(n=32)和慢性组(n=46),比较两组患者临床和MRI特征。结果 急慢性BCS患者临床特征比较显示,与急性组患者相比,慢性组年龄较大,下肢静脉曲张、下肢肿胀、下肢色素沉着、腹壁静脉曲张发生率较高,但肝功能指标和腹胀发生率较低,差异均有统计学意义(P<0.05);MRI特征比较显示,与急性组患者相比,慢性组腹水量较少、肝脏体积增大发生率较低,但尾状叶体积增大、肝内结节、肝内外交通支、副肝静脉发生率较高,差异均有统计学意义(P<0.05);急性组病变类型以肝静脉型为主,慢性组以混合型为主;急性组肝实质强化多不均匀,慢性组强化较为均匀。结论 急慢性BCS临床特征和MRI表现均存在明显差异,观察这些特征表现有助于BCS准确分期和临床诊疗。
参考文献/References:
[1] Meng X, Yong L, Zhang B, et al. Endovascular management of Budd- Chiari syndrome with inferior vena cava thrombosis: a 14- year single- center retrospective report of 55 patients[J]. J Vasc Interv Radiol, 2016, 27:1592- 1603.
[2] 中国医师协会腔内血管学专业委员会腔静脉阻塞专家委员会.布- 加综合征亚型分型的专家共识[J].临床肝胆病杂志, 2017, 26: 1229- 1235.
[3] Singh V, Sinha SK, Nain CK, et al. Budd- Chiari syndrome: our experience of 71 patients[J]. J Gastroenterol Hepatol, 2000, 15: 550- 554.
[4] Helman R, Pereira WO, Marti LC, et al. Granulocyte whole exome sequencing and endothelial JAK2V617F in patients with JAK2V617F positive Budd- Chiari syndrome without myeloproli-ferative neoplasm[J]. Br J Haematol, 2018, 180: 443- 445.
[5] Dulicek P, Hulek P, Krajina A, et al. Diagnosis, etiology and management of the Budd- Chiari syndrome: a bloodcoagulation and hepatological study on the course of the disease treated with TIPS[J]. Int Angiol, 2016, 35: 90- 97.
[6] 佴启元, 平 杰, 许 伟, 等. 下腔静脉隔膜型布- 加综合征介入治疗前后血流动力学参数的模拟分析[J]. 中华肝胆外科杂志, 2016, 22: 734- 737.
[7] Zu MH, Xu H, Gu YM, et al. The application and efficacy of stent place for Budd- Chiari syndrome[J]. J Intervent Med, 2018, 1: 170- 175.
[8] 张 静, 朱子清, 王 慧, 等. 青少年布加综合征临床特征分析[J]. 医学理论与实践, 2013, 26:703- 704, 718.
[9] 王朝阳, 任建庄, 韩新巍, 等. 经颈静脉肝内门体分流术联合经导管溶栓治疗肝静脉广泛闭塞型巴德- 吉亚利综合征合并急性门静脉血栓的临床疗效[J]. 中华消化杂志, 2017, 37:661- 665.
[10] Alcaraz G, Meineri M, Dattilo K, et al. Intraoperative transeso-phageal echocardiographic diagnosis of acute Budd- Chiari syndrome after extended right hepatectomy[J]. AA Case Rep, 2016, 7: 13- 15.
[11] Cheng D, Xu H, Hua R, et al. Comparative study of MRI manifestations of acute and chronic Budd- Chiari syndrome[J]. Abdom Imaging, 2015, 40: 76- 84.
备注/Memo
- 备注/Memo:
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(收稿日期:2019-05-17)
(本文编辑:边 佶)
更新日期/Last Update:
2020-05-22