刘剑羽,谢敬霞,张同琳.三维造影剂增强磁共振门静脉造影在门脉高压症诊断和治疗中的应用[J].中国医学影像技术,2000,16(2):138~140
三维造影剂增强磁共振门静脉造影在门脉高压症诊断和治疗中的应用
The Application of Combination with 3D CEMRP in Diagnosis and Treatment of Portal Hypertension
投稿时间:1999-09-28  
DOI:
中文关键词:  磁共振血管成像  门静脉造影  门脉高压症
英文关键词:Megnatom resonance angiography  Portography  Portal hypertension
基金项目:
作者单位
刘剑羽 北京医科大学第三医院放射科,北京100083 
谢敬霞 北京医科大学第三医院放射科,北京100083 
张同琳 外科 
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中文摘要:
      目的 评估3D CE MRP 对门脉高压症门静脉系统的显示能力。方法 62 例门脉高压症患者,采用 Siemen’s 1. 5T vision 扫描仪,单次屏气扫描序列。结果 3D CE MRP 清晰显示了所有病例门静脉、脾静脉及曲张的 侧支血管,肝内门静脉分支显示达3~6 级;肠系膜上静脉显示59 例。除2 例肠系膜上静脉由于技术问题未显示外, 其余病例所见与手术结果一致。结论 3D CE MRP 可准确显示门脉高压症门静脉系统的病理改变,3D CE MRP 与快速屏气MRI 结合可作为临床术前评估门静脉系统及确定治疗方案的客观依据。
英文摘要:
      Purpose To investigate 3D CE MRP in displaying portal venous system in portal hypertension. Methods 62 patients with portal hypertension were performed 3D CE MRP with Siemen’s 1. 5 T MR scanner. Results 3D CE MRP could display above 3~6 degree intrahepatic portal vein ,the main portal vein (PV) ,splenic vein (SPV) ,collaterals and varicosis clearly of all the cases in portal hypertension. Superior mesenteric vein (SMV) were displayed in 59 cases. The findings of MRP were same as the operation excluded 2 cases which were not visualized by the operative problem. Conclusion 3D CE MRP can demonstrate the pathologic changes of portal venous system in portal hypertension exactly. Combining with 3D CE MRP and breath-hold MRI can be considered as an efficacy imaging method in diagnosis and treatment of portal hypertension.
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