多层螺旋CT门静脉成像评价脾肾静脉分流的价值

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Abstract Objective: To evaluate the application value of splenorenal shunt in clinical diagnosis and treatment through portal vein imaging by 128 slice spiral CT. Methods: According to the presence of splenic/gastric-renal shunt, 146 patients with liver cirrhosis from December 2014 to January 2016 were divided into two groups: group A and group B. Average diameters of the portal vein, the splenic vein and the left renal vein, and the incidence and severity of esophageal varices in two groups were compared. Results: Forty patients in A, and 106 patients in B. The incidence of splenorenal shunt was about 27.4%. The difference between the two groups in the severity of esophageal varices was statistically significant(χ2=6.24>χ20.05, 2＝5.99, P<0.05). The severity of esophageal varices was significantly correlated with splenorenal shunt(P=0.01<0.05). Conclusion: The splenorenal shunt can reduce the incidence and relieve the severity of esophageal varices. In the operation of portal hypertension, the existing splenorenal shunt can be used to reduce the pressure of the portal vein.

Key words： Liver cirrhosis Renal veins Splenic vein Tomography, X-ray computed Angiography

Received: 02 June 2017

PACS:	Ｒ575.2
	Ｒ814.41
	Ｒ814.43

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	Articles by authors
	ZHANG Can-huan
	LIU Hong-yan
	ZHANG Bing
	GAO Jian
	WANG Guo-hua
	FANG Ming
	WANG Qin-xi

Cite this article:

ZHANG Can-huan,LIU Hong-yan,ZHANG Bing, et al. The value of multi-slice spiral CT in portal vein imaging for evaluating splenorenal shunt[J]. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(4): 277-280.

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http://www.jccmi.com.cn/EN/ OR http://www.jccmi.com.cn/EN/Y2018/V29/I4/277

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