经皮肝穿刺肝静脉造影对Budd－Chiari综合征的诊断价值

Evaluation of Percutaneous Tanshepatic Hepatovenography in the Diagnosis of Budd-Chiari Syndrome

作者对８２例Ｂｕｄｄ－Ｃｈｉａｒｉ综合征患者进行了９７次经皮肝穿刺肝静脉造影。病人年龄８～５７岁，男５３例，女２９例。所有病人术前均进行下腔静脉造影和Ｂ超检查。结果表明，经皮肝穿刺肝静脉造影可明确显示主肝静脉阻塞部位、程度及侧支循环状态，对Ｂｕｄｄ－Ｃｈｉａｒｉ综合征诊断和分型具有重要意义。作者详细讨论了该方法对本病的诊断、治疗方案的选择及自然预后和手术效果判断的价值。

patients with Budd-Chiari syndrome were studied by percutaneous transhepatic hepatovenography(PTHV)altogether 97 times,There were 53 males and 29 females with the age ranging from 8～57 years. Each patient had undergone the investigation of ultrasound and inferior venocavography before the PTHV. The results demonstrated that PTHV could reveal the site and de-gree of hepatic venous obstruction as well as the collateral circulation, it was of great value in the di-agnosis and classification of Budd-Chiari syndrome. The role of PTHV in the diagnosis, choice of management,estimation of prognosis and therapeutic evaluation after operation were discussed.