|
|
|
| Diagnostic Value of Color Doppler Ultrasound in Children ' s Congenital Hepatic Portal Vein Shunt |
| PENG Ying-hui, CHEN Wen-juan, LIU Qian-jun |
| Department of Ultrasound, the Children's Hospital of Hunan Province,Changsha 410007,China |
|
|
|
|
Abstract 【Objective】To investigate the diagnostic value of color Doppler ultrasound in pediatric patients with congenital extra-hepatic portosystemic shunt(CEPS). 【Methods】The ultrasonographic features of 7 children with CEPS diagnosed by ultrasound and confirmed by multi-helix CT or surgery were analyzed retrospectively.【Results】All the 7 cases were confirmed by CT or surgical operation were diagnosed as 6 cases with type Ⅱ, 1 case with type Ib and 4 cases with congenital heart disease. Color Doppler ultrasound can detect the abnormal blood flow sensitively and determine the direction and velocity of blood flow. The diagnostic accuracy is high and the results are consistent with the results of CT or surgery.【Conclusion】As a rapid and simple method, color Doppler ultrasound can clearly show the origin and route of extrahepatic portal-systemic venous shunt. It can be used as the first choice for CEPS.
|
|
Received: 26 June 2018
|
|
|
|
|
|
[1] Guérin F, Blanc T, Gauthier F,et al.Congenital portosystemic vascular malformations[J].Semin Pediatr Surg,2012,21(3):233-244.
[2] 徐彦东,张凤翔,张浩亮.64排螺旋CT诊断Abernethy畸形二例[J].放射学实践,2014,29(6):723-724.
[3] 杨光军,王亚松,张莹,等.Abernethy畸形的CT 表现(附5例报告并文献复习)[J].实用放射学杂志,2016,32(5):811-813.
[4] 郭辰,王谦,胡立伟,等.数字减影血管造影对儿童Abernethy畸形的诊断[J].影像诊断与介入放射学,2017,26(2):126-129.
[5] 李坤,翟水亭.以腹痛为临床表现的Abernethy畸形1例[J].中国介入影像与治疗学,2017,14(8):518.
[6] Van Beers BE, Daire JL, Garteiser P.New imaging techniques for liver diseases[J].J Hepatol,2015,62(3):690-700.
[7] 谭亚兰,郭万亮.先天性肝外门体分流2例[J].介入放射学杂志,2017,26(10):958-960.
[8] 王亚妹,钟琳,陶于洪.2001年至2012年中国18例Abernethy畸形综合报道[J].中华实用儿科临床杂志,2013,28(19):1478-1482.[9] Murray CP, Yoo SJ, Babyn PS.Congenital extrahepatic portosystemic shunts[J].Pediatr Radiol,2003,33(9):614-620.
[10] Hao Y, Hong X, Zhao X.Congenital absence of the portal vein associated with focal nodular hyperplasia of the liver and congenital heart disease (Abernethy malformation): A case report and literature review[J].Oncol Lett,2015,9(2):695-700.
[11] Sokollik C, Bandsma RH, Gana JC,et al.Congenital portosystemic shunt: characterization of a multisystem disease[J].Pediatr Gastroenterol Nutr,2013,56(6):675-681.
[12] Guérin F, Blanc T, Gauthier F, et al.Congenital portosystemic vascular malformations[J].Semin Pediatr Surg,2012,21(3):233-244.
[13] 谢恩萍,张国庆,步军.新生儿先天性门体静脉分流合并髂动脉-脐静脉瘘一例报告并文献复习[J].中华新生儿科杂志(中英文),2017,32(4):287-290.
[14] 邓剑玲,谢育英,李震,等.Abernethy畸形彩色多普勒超声表现3例[J].中华超声影像学杂志,2010,19(9):760,764.
[15] 裘敏剑.Abernethy畸形的影像学表现二例[J].中华医学杂,2013,93(9):717-718. |
|
|
|
2018, Vol. 35 
