Objective To investigate the diagnostic value of 64-slice spiral CT in Budd-Chiari syndrome (BCS) due to inferior
vena cava obstruction. Methods From January 2012 to May 2016, 40 patients with BCS due to inferior venacava obstruction were
included in our study. The clinical manifestations of these patients were simple inferior vena cava obstruction and mixed hepatic
vein and inferior vena cava. The patients were randomly divided into group 1 (n=20) and group 2 (n=20). Patients in Group 1
underwent 64-slice spiral CT plain scan and more dynamically enhanced image findings of BCS, and patients in group 2 underwent
digital subtraction angiography (DSA). The BCS in inferior vena cava obstruction of these two groups was observed. Results After
diagnosis, the 64-slice spiral CT scan and dynamic contrast-enhanced CT scan were able to confirm the diagnosis of BCS. There was
no statistical significance in the symptoms of inferior vena cava obstruction (c2=0.507, P=0.695) and hepatic vein stenosis (c2=0.008,
P=0.618) between the two groups (P>0.05). Conclusion The 64-slice spiral CT and DSA can accurately and intuitively reflect the
occlusion site, nature, extent and liver changes of BCS in inferior vena cava obstruction. It can reflect the morphology and function of
inferior vena cava obstruction and liver damage. Therefore, the 64-slice spiral CT is effective for the diagnosis of inferior vena cava
obstruction Budd-Chiari syndrom.
Key words
64-slice spiral CT /
inferior vena cava obstruction /
Budd-Chiari syndrome /
digital subtraction angiography /
diagnostic value
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Footnotes
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