标题：下腔静脉闭塞型布-加综合征的彩超诊断

      作者：刘学彬，马果丰，曾 艳，杨 姣，袁 莉，贾 莉，邹 玲
    (川北医学院第二临床医学院南充市中心医院超声科，四川 南充 637000)

      卷次： 2013年24卷17期

      【摘要】 目的 探讨彩超对下腔静脉闭塞型布-加综合征(BCS)的诊断价值。方法 回顾性分析经血管造
影证实的下腔静脉闭塞型BCS患者15例，观察彩超声像图特征。结果 彩超诊断下腔静脉闭塞型BCS符合率
为86.7% (13/15)，主要直接征象为：肝后段下腔静脉内隔膜状回声或管壁节段性闭塞，远端扩张。主要间接征象
为：肝脏回声粗大、肝尾叶增大、侧支形成。结论 彩超作为无创、价廉、可重复强的检查方法，对下腔静脉闭塞
型BCS有重要的诊断价值。

      【关键词】 彩色多普勒超声；布-加综合征；下腔静脉

      【中图分类号】 R445.1 【文献标识码】 A 【文章编号】 1003—6350（2013）17—2543—02


Color Doppler ultrasound diagnosis for Budd-Chiari syndrome accompanied by occlusion of inferior vene
cava.
LIU Xue-bin, MA Guo-feng, ZENG Yan, YANG Jiao, YUAN Li, JIA Li, ZOU Ling. The Second Clinical Hospitall of
North Sichuan Medical College, Department of Ultrasound, Nanchong Central Hospital, Nanchong 637000, Sichuan, CHINA

【Abstract】 Objective To explore the diagnostic value of Color Doppler ultrasound in Budd-Chiari syn-
drome (BCS) accompanied by occlusion of inferior vena cava. Methods The imaging data of color Doppler ultra-
sound analysis was retrospectively analyzed in 15 patients with BCS accompanied by occlusion of inferior vena cava.
Results The coincidence rate of the diagnosis was 86.7% (13/15). The main direct signs included diaphragm echo of
hepatic segment of inferior vena cava afteror wall segmental occlusion, distal extension. The main indirect signs were
liver echo coarse, liver caudate lobe enlargement, visible collateral formation. Conclusion Color Doppler ultrasound
serves as a noninvasive, inexpensive, repeatable examination method, which has important diagnostic value for BCS
accompanied by occlusion of inferior vena cava.

      【Key words】 Color Doppler ultrasound; Budd-Chiari syndrome; Inferior vena cava