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目的探讨彩色多普勒超声对布加综合征的分型诊断及观察。方法对36例布加综合征患者行彩色多普勒超声检查,观察血流特征及其二维超声表现,对超声检查结果进行分析。结果布加综合征患者临床容易产生误诊,36例患者腔静脉阻塞28例,肝静脉阻塞6例,两者同时阻塞2例,本组患者与数字血管减影造影符合率为80.56%(29/36),误诊以肝硬化失代偿期最常见,肝硬化失代偿期4例,结核性腹膜炎2例,缩窄性心包炎1例。结论彩色多普勒超声能够显示BCS的血管阻塞部位、程度、范围及侧支循环,应用彩色多普勒超声对布加综合征检查时,为提高临床准确率,要做好观察并明确分型诊断。
Objective To investigate the classification and diagnosis of Budd-Chiari syndrome by color Doppler sonography. Methods 36 cases of Budd-Chiari syndrome patients underwent color Doppler ultrasound examination, blood flow characteristics and two-dimensional ultrasound findings, the results of ultrasound examination. Results The clinical diagnosis of Budd-Chiari syndrome was easy to be misdiagnosed. Among the 36 patients, 28 cases had vena cava obstruction and 6 cases had hepatic vein occlusion. Both of them occluded at the same time in 2 cases. The coincidence rate of digital angiography and angiography was 80.56% 36), misdiagnosed as the most common decompensation of liver cirrhosis in 4 cases of decompensation, tuberculous peritonitis in 2 cases, 1 case of constrictive pericarditis. Conclusion Color Doppler ultrasound can show the location, degree, extent and collateral circulation of vascular occlusion in BCS. To improve the clinical accuracy when using color Doppler ultrasound to check the Budd-Chiari syndrome, it is necessary to observe and clarify the type diagnosis.