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学科主题临床医学
Ultrasonography and Computed Tomography Diagnostic Evaluation of Budd-Chiari Syndrome Based on Radical Resection Exploration Results
Zhang, Li-Ming1; Zhang, Guo-Yan1; Liu, Yu-Lan1; Wu, Jing2; Cheng, Jin2; Wang, Yi2
关键词Budd-Chiari syndrome radical resection color Doppler sonography CT scan
刊名ULTRASOUND QUARTERLY
2015-06-01
31期:2页:124-129
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Radiology, Nuclear Medicine & Medical Imaging
研究领域[WOS]Radiology, Nuclear Medicine & Medical Imaging
关键词[WOS]INFERIOR VENA-CAVA ; MEMBRANOUS OBSTRUCTION ; PORTAL-HYPERTENSION ; OUTFLOW OBSTRUCTION ; MANAGEMENT ; FORM ; CT
英文摘要

Objective: The current study used exploration during radical resection, which reveals the vascular lesion directly, as a criterion standard to evaluate and compare sonography and computed tomography (CT) diagnosis.

Methods: A total of 70 patients (47 men and 23 women) with Budd-Chiari syndrome who underwent radical resection at Peking University People′s Hospital between 2006 and 2012 were retrospectively examined. Sonography and CT were performed in all patients pre-operatively. The lesions were classified into 6 groups on the basis of the intraoperative findings.

Results: When compared with the surgical findings, sonography was significantly more accurate than CT (91.4% vs 77.1%, respectively; P = 0.035) in detecting membranous lesions with thrombosis of the inferior vena cava. Moreover, sonography was significantly more accurate than CT (80.0% vs 55.7%, respectively; P = 0.000) in detecting membranous lesions in hepatic vein openings and short-segment lesions (<1 cm) comprising thrombosis and fibrous tissue without the membrane in hepatic openings (87.1% vs 71.4%, respectively; P = 0.036).

Conclusions: By using exploration during radical resection as the criterion standard to assess imaging modalities for Budd-Chiari syndrome, we found that sonography was advantageous over CT not only in detecting membranous lesions with inferior vena cava thrombosis but also in diagnosing lesions in hepatic vein openings.

语种英语
WOS记录号WOS:000355140900008
引用统计
被引频次:8[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/59289
专题北京大学第二临床医学院_消化科
作者单位1.Peking Univ, Peoples Hosp, Dept Radiol, Beijing 100044, Peoples R China
2.Peking Univ, Peoples Hosp, Dept Gastroenterol, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
Zhang, Li-Ming,Zhang, Guo-Yan,Liu, Yu-Lan,et al. Ultrasonography and Computed Tomography Diagnostic Evaluation of Budd-Chiari Syndrome Based on Radical Resection Exploration Results[J]. ULTRASOUND QUARTERLY,2015,31(2):124-129.
APA Zhang, Li-Ming,Zhang, Guo-Yan,Liu, Yu-Lan,Wu, Jing,Cheng, Jin,&Wang, Yi.(2015).Ultrasonography and Computed Tomography Diagnostic Evaluation of Budd-Chiari Syndrome Based on Radical Resection Exploration Results.ULTRASOUND QUARTERLY,31(2),124-129.
MLA Zhang, Li-Ming,et al."Ultrasonography and Computed Tomography Diagnostic Evaluation of Budd-Chiari Syndrome Based on Radical Resection Exploration Results".ULTRASOUND QUARTERLY 31.2(2015):124-129.
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