布-加氏综合征彩色多普勒血流显像分析

Color Doppler flow image of Budd-Chiari syndrome

目的:探讨彩色多普勒血流显像(color Doppler flow image,CDFI)对布-加氏综合征(Budd-Chiari syndrome,B-CS)的诊断价值。方法:回顾性分析35例B-CS的CDFI检查结果,与下腔静脉造影结果对照。结果:35例B-CS中CDFI正确诊断34例,漏诊1例,诊断正确率97.1%。34例中CDFI提示病变(狭窄或闭塞)累及肝静脉和下腔静脉24例,只累及下腔静脉8例,只累及肝静脉2例,漏诊1例为下腔静脉局限性膜性狭窄。结论:CDFI为临床上诊断B-CS首选的无创性检查方法。

Objective To evaluate for the diagnosis of Budd-Chiari syndrome （ the diagnostic value of color Doppler flow image （CDFI） B-CS ）. Methods CDFI findings of 35 patients with B- CS were retrospectively analyzed and compared with the findings of venography of inferior vena cava （IVC）. Results Thirty-four patients were diagnosed as B-CS by CDFI, while one patient with local tunica stenosis was misdiagnosed. The correct diagnostic rate was 97. 1%. In the 34 patients, CDFI displayed stenosis or occlusion in the hepatic vein and IVC in 24 patients, IVC only in 8, and hepatic vein only in 2. Conclusion CDFI may be a principal non-invasive technique to diagnose B-CS.