目的 探讨超声造影对门静脉癌栓和血栓的鉴别诊断价值。方法 应用超声造影剂（SonoVue）对16例门静脉癌栓及8例门静脉血栓行实时低机械指数超声造影，观察并分析其造影增强特征。 结果 16例癌栓超声造影动脉相10例呈整体均匀性增强，2例呈整体不均匀性增强，2例呈整体轻度增强，2例栓子一部分增强，另一部分无增强； 门脉相特别是门脉相晚期和延迟相14例栓子呈充盈缺损状态，2例栓子仍呈轻微强化。4例常规彩超检查未能检出动脉血流信号而不能确诊的癌栓，超声造影均显示其动脉相增强。8例血栓行超声造影后整个造影过程栓子均未见增强。结论 超声造影可敏感地反映门静脉栓子的血流灌注，门静脉癌栓和血栓在超声造影后有显著的特征，有助于两者的鉴别诊断。
Citation：
邓旦,廖明松,吴晓波,陶杰,赵恒,罗俏霜. Study of Portal Vein Tumor Thrombus and Portal Vein Thrombosis with Contrast-Enhanced Ultrasonograph. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2008, 15(11): 868-869. doi:
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- 1. 孙 彦， 王金锐. 门静脉癌栓的超声介入诊断与治疗 [Ｊ]. 中国微创外科杂志， 2007; 7(1)∶70.
- 2. 陆正华， 沈 锋. 门静脉癌栓研究进展 [Ｊ]. 中国微创外科杂志， 2007; 7(1)∶64.
- 3. 樊 嘉， 黄 成. 肝癌门静脉癌栓的外科治疗 [Ｊ]. 中国普外基础与临床杂志， 2004; 11(5)∶380.
- 4. Lassau N, Chami L, Benatsou B, et al. Dynamic contrast-enhanced ultrasonography (DCE-US) with quantification of tumor perfusion: a new diagnostic tool to evaluate the early effects of antiangiogenic treatment [Ｊ]. Eur Radiol, 2007; 17 Suppl 6∶F89.
- 5. Carr CL, Lindner JR. Myocardial perfusion imaging with contrast echocardiography [Ｊ]. Curr Cardiol Rep, 2008; 10(3)∶233.
- 6. 戴 晴， 姜玉新. 超声造影的临床应用 [Ｊ]. 中国医学科学院学报, 2008; 30(1)∶1.
- 7. 林 玲， 袁朝新， 罗 燕， 等. 肝血管瘤的超声造影诊断价值 [Ｊ]. 中国普外基础与临床杂志， 2006; 13(5)∶592.
- 8. 丁 红， 王文平， 黄备建, 等. 超声造影检测和诊断小肝癌的价值 [Ｊ]. 中国普外基础与临床杂志， 2007; 14(1)∶28.
- 9. Rossi S, Ghittoni G, Ravetta V, et al. Contrast-enhanced ultrasonography and spiral computed tomography in the detection and characterization of portal vein thrombosis complicating hepatocellular carcinoma [Ｊ]. Eur Radiol, 2008; 18(8)∶1749.
- 10. Atsuo J. Pathological study of hepatocellular carcinoma: a study of tumor thrombus of the portal vein [Ｊ]. Acta Hepatologica Japonica, 1983; 24(6)∶641.
- 11. Caturelli E, Siena DA, Fusilli S, et al. Transcatheter arterial chemoembolization for hepatocellular carcinoma in patients with cirrhosis: evaluation of damage to nontumorous liver tissue-long-term prospective study [Ｊ]. Radiology, 2000; 215(1)∶123.
- 12. Minagawa M, Makuuchi M, Takayama T, et al. Selection criteria for hepatectomy in patients with hepatocellular carcinoma and portal vein tumor thrombus [Ｊ]. Ann Surg, 2001; 233(3)∶379.
- 13. Duerschmied D, Maletzki P, Freund G, et al. Analysis of muscle microcirculation in advanced diabetes mellitus by contrast enhanced ultrasound [Ｊ]. Diabetes Res Clin Pract, 2008; 81(1)∶88.
