高军,于彤,刘志敏,刘勇,段晓岷,彭芸,曾津津.MSCT诊断Abernethy畸形[J].中国医学影像技术,2014,30(5):649~652
MSCT诊断Abernethy畸形
MSCT in diagnosis of Abernethy malformation
投稿时间:2014-01-16  修订日期:2014-03-19
DOI:
中文关键词:  Abernethy畸形  门体静脉分流  体层摄影术,X线计算机
英文关键词:Abernethy malformation  Portosystemic shunt pathway  Tomography, X-ray computed
基金项目:首都医学发展基金(2009-2077)、科技重大专项项目(2011ZX09302-007-01)。
作者单位E-mail
高军 首都医科大学附属北京儿童医院影像中心, 北京 100045  
于彤 首都医科大学附属北京儿童医院影像中心, 北京 100045  
刘志敏 首都医科大学附属北京儿童医院影像中心, 北京 100045  
刘勇 首都医科大学附属北京儿童医院影像中心, 北京 100045  
段晓岷 首都医科大学附属北京儿童医院影像中心, 北京 100045 mimicolor@sina.com 
彭芸 首都医科大学附属北京儿童医院影像中心, 北京 100045  
曾津津 首都医科大学附属北京儿童医院影像中心, 北京 100045  
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中文摘要:
      目的 分析Abernethy畸形的临床及MSCT资料,以提高对该类畸形的认识。方法 收集11例Abernethy畸形患儿,分别接受CT平扫及增强扫描,分析其影像学表现。结果 AbernethyI型患儿5例,影像学特点为肝门静脉无明确显示,3例胃肠道回流血液通过肠系膜下静脉、1例经左侧肾静脉引流至下腔静脉;1例通过腰升静脉进入半奇静脉,回流至上腔静脉。Abernethy畸形Ⅱ型患儿6例,影像学特点为肝内门静脉分支细、少,胃肠回流血液部分通过门静脉入肝,5例通过肠系膜下静脉、1例通过肠系膜上静脉汇入下腔静脉。结论 Abernethy畸形是较罕见的先天性疾病,MSCT是诊断本病的主要影像学手段。
英文摘要:
      Objective To analyze clinical and MSCT data of Abernethy malformation patients, so as to improve the understanding of Abernethy malformation.Methods Totally 11 patients with Abernethy malformation who underwent conventional CT and contrast-enhanced scanning were enrolled. Results Imaging features of 5 patients with Abernethy malformation Ⅰ included invisible hepatic portal vein and gastrointestinal blood draining into inferior vena cava through the dilated inferior mesenteric vein (n=3), left renal vein (n=1), and draining into superior vena cava through ascending lumber vein and hemiazygos vein (n=1), while of 6 patients with Abernethy malformation Ⅱ included narrowed intrahepatic portal vein and extrahepatic portal vein, some gastrointestinal blood draining into the liver through portal vein and at the same time through the dilated inferior mesenteric vein (n=5), superior mesenteric vein (n=1) draining into the vena cava. Conclusion Abernethy malformation is a relatively rare congenital disease, and MSCT may be regarded as the main imaging method for diagnose of this disease.
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