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学科主题: 临床医学
题名:
Ultrasonography and Computed Tomography Diagnostic Evaluation of Budd-Chiari Syndrome Based on Radical Resection Exploration Results
作者: 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
发表日期: 2015-06-01
卷: 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
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/59289
Appears in Collections:北京大学第二临床医学院_消化内科_期刊论文

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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

Recommended Citation:
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.
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