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本文根据22例柏-查综合征(B-CS)的超声、造影和手术资料(其中经静脉造影者20例,手术12例),把B-CS的声像图所见分为足以显示阻塞部位、类型及程度的直接征象和显示静脉及脏器淤血的间接征象两大部分各6项,认为前者具有诊断价值,后者只有辅助诊断意义。结合超声与造影所见,把本组B-CS分为2大类型及各4个亚型,并证明只有这种结合分型才能弥补超声和造影的不足,达到准确分型的目的,为确立治则、选择术式提供可靠依据。通过术中测压和超声所见的对照分析,推测在诊断B-CS患者门脉高压上脾脏增大与腹水出现比门脉系血管扩张更为有意义,是不失其可靠性的指标。
Based on 22 cases of B-CS ultrasound, radiography and surgical data (including 20 cases of venography and 12 cases of surgery), the B-CS sonogram is divided into enough to show the obstruction Location, type and extent of the direct signs and symptoms of venous and organ congestion showed six indirect six signs, that the former has diagnostic value, the latter only diagnostic significance. Combined with ultrasound and angiography, the group B-CS is divided into two major types and four subtypes, and to prove that only this combination can make up for lack of ultrasound and contrast to achieve the purpose of accurate typing, to establish Rule, choose to provide a reliable basis for surgery. Through intraoperative manometry and ultrasound contrast control analysis, presumably in the diagnosis of B-CS portal hypertension in patients with splenomegaly and portal vein vasodilation more meaningful, is an indicator of its reliability.