中国医疗设备2017，Vol.32Issue(7)：60-63,4.DOI:10.3969/j.issn.1674-1633.2017.07.017
DSA在儿童先天性肝外门体静脉分流的临床分型及治疗中的应用价值
Application Value of DSA in the Clinical Classification and Treatment of Children's Congenital Extrahepatic Portosystemic Shunts
顾晓红 1邵虹 1孙爱敏 1钟玉敏 1曹剑锋1
作者信息
- 1. 上海交通大学医学院附属上海儿童医学中心 放射科,上海 200127
- 折叠
摘要
Abstract
Objective This paper aimed to explore the value of digital subtraction angiography (DSA) in the clinical classification and treatment of children's congenital extrahepatic portosystemic shunts (CEPS). Methods The DSA results of 15 cases of congenital hepatic portal vein were analyzed retrospectively as well as being compared with the clinical data. Results Fifty cases were diagnosed and classified by DSA, which contained 2 cases of typeⅠand 13 cases of typeⅡ. For the 13 cases of type Ⅱ, 12 cases were treated effectively except 1 case was followed-up. 4 cases with abnormal sido veins were plugged under DSA, the other 8 cases could not undergone the ligating the portosystemic shunts surgery effectively because they could not be plugged well. The clinical symptoms of the children were significantly improved after treatment. Conclusion DSA is a sensitive and accurate way to make a definite diagnosis for CEPS, especially in modifying the classification of patients which are always misdiagnosed by routine CT/MRI due to not detecting tiny branch of intrahepatic portal vein, and provides timely and effective treatment opportunities for these patients.关键词
儿童/先天性肝外门体静脉分流/数字减影血管造影/封堵器封堵/门体断流术Key words
children/congenital extrahepatic portosystemic shunts/digital subtraction angiography/vascular plug occlusion/ligation分类
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顾晓红,邵虹,孙爱敏,钟玉敏,曹剑锋..DSA在儿童先天性肝外门体静脉分流的临床分型及治疗中的应用价值[J].中国医疗设备,2017,32(7):60-63,4.
