• 四川大學(xué)華西醫(yī)院放射科（成都610041）;

目的介紹多排螺旋CT三維血管成像技術(shù)及其在評(píng)價(jià)肝硬變門體分流側(cè)支循環(huán)方面的臨床應(yīng)用。 方法回顧性總結(jié)采用多排螺旋CT增強(qiáng)掃描，并通過(guò)最大密度投影、表面遮蓋顯示、容積再現(xiàn)等二維、三維重建技術(shù)來(lái)顯示肝硬變門脈高壓側(cè)支循環(huán)血管的文獻(xiàn)。 結(jié)果肝硬變門體分流側(cè)支血管的分布、走行及解剖毗鄰關(guān)系在多排螺旋CT門靜脈血管成像圖像上都能得到良好、直觀的顯示。 結(jié)論多排螺旋CT三維血管成像技術(shù)有利于血管走行的連續(xù)追蹤和毗鄰關(guān)系的清晰顯示，有助于肝硬變門脈高壓側(cè)支循環(huán)的診斷。

引用本文： 吳苾,宋彬. 多排螺旋CT門靜脈血管成像評(píng)價(jià)肝硬變門體分流的側(cè)支血管. 中國(guó)普外基礎(chǔ)與臨床雜志, 2004, 11(3): 260-262. doi: 復(fù)制

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4. Shirkhoda A, Konez O, Shetty AN, et al. Contrastenhanced MR angiography of the mesenteric circulation: a pictorial essay [J]. Radiographics, 1998; 18(4)∶851.
5. Rydberg J, Buckwalter KA, Caldemeyer KS, et al. Multisection CT: scanning techniques and clinical applications [J]. Radiographics, 2000; 20(6)∶1787.
6. Fishman EK. From the RSNA refresher courses: CT angiography: clinical applications in the abdomen [J]. Radiographics, 2001; Spec No∶S3.
7. 武洪林, 盧光明. 三維螺旋CT血管成像的臨床應(yīng)用 [J]. 中國(guó)醫(yī)學(xué)影像技術(shù), 1996; 12(2)∶150.
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10. Calhoun PS, Kuszyk BS, Heath DG, et al. Threedimensional volume rendering of spiral CT data: theory and method [J]. Radiographics, 1999; 19(3)∶745.
11. Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
12. Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
13. Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
14. Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
15. Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
16. Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
17. Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
18. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
19. Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.
  1. 1. Kang HK, Jeong YY, Choi JH, et al. Threedimensional multidetector row CT portal venography in the evaluation of portosystemic collateral vessels in liver cirrhosis [J]. Radiographics, 2002; 22(5)∶1053.
  2. 2. 許崇永, 周翔平, 鄧開(kāi)鴻, 等. 門靜脈高壓側(cè)支循環(huán)CT表現(xiàn) [J]. 臨床放射學(xué)雜志, 1999; 18(5)∶280.
  3. 3. Madrazo B, Jafri SZ, Shirkdoa A, et al. Portosystemic collaterals: evaluation with colour Doppler imaging and correlation with CT and MRI [J]. Semin Intervent Radiol, 1990; 7(1)∶169.
  4. 4. Shirkhoda A, Konez O, Shetty AN, et al. Contrastenhanced MR angiography of the mesenteric circulation: a pictorial essay [J]. Radiographics, 1998; 18(4)∶851.
  5. 5. Rydberg J, Buckwalter KA, Caldemeyer KS, et al. Multisection CT: scanning techniques and clinical applications [J]. Radiographics, 2000; 20(6)∶1787.
  6. 6. Fishman EK. From the RSNA refresher courses: CT angiography: clinical applications in the abdomen [J]. Radiographics, 2001; Spec No∶S3.
  7. 7. 武洪林, 盧光明. 三維螺旋CT血管成像的臨床應(yīng)用 [J]. 中國(guó)醫(yī)學(xué)影像技術(shù), 1996; 12(2)∶150.
  8. 8. 李曉兵, 田建明, 王培軍. 多層螺旋CT門靜脈容積顯示技術(shù)三維成像 [J]. 中國(guó)醫(yī)學(xué)計(jì)算機(jī)成像雜志, 2002; 8 (1)∶28.
  9. 9. Rubin GD, Dake MD, Napel SA, et al. Threedimensional spiral CT angiography of the abdomen: initial clinical experience [J]. Radiology, 1993; 186(1)∶147.
  10. 10. Calhoun PS, Kuszyk BS, Heath DG, et al. Threedimensional volume rendering of spiral CT data: theory and method [J]. Radiographics, 1999; 19(3)∶745.
  11. 11. Douglass BE, Baggenstoss AH, Hollinshead WH. The anatomy of the portal vein and its tributaries [J]. Surg Gynecol Obstet, 1950; 91(5)∶562.
  12. 12. Takashi M, Igarashi M, Hino S, et al. Esophageal varices: correlation of left gastric venography and endoscopy in patients with portal hypertension [J]. Radiology, 1985; 155(2)∶327.
  13. 13. Balfe DM, Mauro MA, Koehler RE, et al. Gastrohepatic ligament: normal and pathologic CT anatomy [J]. Radiology, 1984; 150(2)∶485.
  14. 14. Leyendecker JR, Rivera E Jr, Washburn WK, et al. MR angiography of the portal venous system: techniques, interpretation, and clinical applications [J]. Radiographics, 1997; 17(6)∶1425.
  15. 15. Nunez D, Russell E, Yrizarry J, et al. Portosystemic communications studied by transhepatic portography [J]. Radiology, 1978; 127(1)∶75.
  16. 16. Lin CY, Lin PW, Tsai HM, et al. Influence of paraesophageal venous collaterals on efficacy of endoscopic sclerotherapy for esophageal varices [J]. Hepatology, 1994; 19(3)∶602.
  17. 17. Lafortune M, Constantin A, Breton G, et al. The recanalized umbilical vein in portal hypertension: a myth [J]. AJR Am J Roentgenol, 1985; 144(3)∶549.
  18. 18. Morin C, Lafortune M, Pomier G, et al. Patent paraumbilical vein: anatomic and hemodynamic variants and their clinical importance [J]. Radiology, 1992; 185(1)∶253.
  19. 19. Ito K, Higuchi M, Kada T, et al. CT of acquired abnormalities of the portal venous system [J]. Radiographics, 1997; 17(4)∶897.