|
Evaluation of Portacaval Collateral Vessels With Multi-slice <?xml:namespace prefix = st1 ns = "urn:schemas-microsoft-com:office:smarttags" />Spiral CT Portal Venography<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" />
喻健玲 张澍田 贺文 于中麟 俞永征 赵丽勤 赵红
首都医科大学附属北京友谊医院 消化内科，北京 100050 首都医科大学消化病学系 北京市消化疾病中心
Jian－ling YU，Shu－tian Zhang，Wen He，Zhong－lin Yu，Yong－zheng Yu，Li－qin Zhao，Hong Zhao.
Department of Gastroenterology，Beijing Chuiyangliu Hospital，Beijing 100022，China
ABSTRACT
Objective： To detect the clinical applicative value of multi－slice spiral CT portal venography in displaying portacaval collateral vessels in patients of liver cirrhosis with portal hypertension.
Methods： 92 patients of liver cirrhosis with portal hypertension underwent endoscopy and 8－detector row CT portal venography which need image postprocessing techniques to show the portacaval collateral vessels. It was studied that the degree of concordance between endoscopy and 8－detector row CT portal venography.
Results： Excellent image quality of portacaval collateral vessels with CTPV was obtained in all patients. The diameter of portal vein and left gastric vein was also obtained in this study. There was a good degree of concordance between CTPV and endoscopy in revealing esophageal varices （Kappa＝0.502） and gastric fundic varices（Kappa＝0.478）.
Conclusion： CTPV is very effective and valuable for providing important and accurate information of the collateral circulation in cirrhotic patients with portal hypertension. There is a good degree of concordance between CTPV and endoscopy in revealing esophageal varices and gastric fundic varices. It is helpful to diagnose and make prognosis by CTPV and endoscopy simultaneously in cirrhotic patients with portal hypertension .
Key words： Liver cirrhosis；Portal hypertension；Portacaval collateral circulation；Multi－slice spiral CT portal venography | 
