Application of 64-slice spiral computed tomography in measurement of simulated puncture channels of intrahepatic portosystemic shunt

王剑华; 周庭永; 吕发金; 张琳; 刘本菊; 张本斯; 张志伟

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Application of 64-slice spiral computed tomography in measurement of simulated puncture channels of intrahepatic portosystemic shunt

更新时间：2026-01-09

- Application of 64-slice spiral computed tomography in measurement of simulated puncture channels of intrahepatic portosystemic shunt
- Journal of Army Medical University Vol. 31, Issue 16, Pages: 1592-1595(2009)
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  CLC： R575.2;R814.42;R816.5
- Published：2009
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王剑华,周庭永,吕发金,张琳,刘本菊,张本斯,张志伟.64层螺旋CT在肝内门腔分流模拟穿刺途径测量中的应用[J].陆军军医大学学报(原第三军医大学学报),2009,31(16):1592-1595.

　WANG Jian-hua,ZHOU Ting-yong,LU FA-jin,ZHANG Lin,LIU Ben-ju,ZHANG Ben-si,ZHANG Zhi-wei.Application of 64-slice spiral computed tomography in measurement of simulated puncture channels of intrahepatic portosystemic shunt[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(16):1592-1595.
王剑华,周庭永,吕发金,张琳,刘本菊,张本斯,张志伟.64层螺旋CT在肝内门腔分流模拟穿刺途径测量中的应用[J].陆军军医大学学报(原第三军医大学学报),2009,31(16):1592-1595. DOI：

　WANG Jian-hua,ZHOU Ting-yong,LU FA-jin,ZHANG Lin,LIU Ben-ju,ZHANG Ben-si,ZHANG Zhi-wei.Application of 64-slice spiral computed tomography in measurement of simulated puncture channels of intrahepatic portosystemic shunt[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(16):1592-1595. DOI：

摘要

目的通过64层螺旋CT（64-MSCT）对非肝病患者及肝硬化Child-Pugh A、B分级组患者门静脉右支1、2 cm处与肝中静脉、肝右静脉1、2、3 cm间模拟穿刺途径进行测量。方法选取上腹部64-MSCT扫描非肝病被检查组共40例；肝硬化组符合纳入标准14例。用智能追踪技术启动扫描，在GE ADW4.2工作站进行处理。结果正常组与肝硬化Child-Pugh A、B分级组ФMHV1、ФRHV1有统计学差异（P0.05）。正常组肝右静脉1～2 cm处及肝中静脉1～2 cm处直径较肝硬化Child-Pugh A、B分级组减小迅速。正常组与肝硬化Child-Pugh A、B分级组模拟穿刺途径距离DMHV2-RPV1、DMHV3-RPV1、DMHV3-RPV2、DRHV1-RPV1间有统计学差异（P0.05）。结论 64-MSCT及三维重建技术是准确测量活体功能状态下肝内血管的有效方法。肝内门腔分流术模拟穿刺途径的研究有助于选择适当长度和类型的支架。

Abstract

Objective To offer clinical applicable information on morphology by means of measurement of the simulated puncture channel of the right portal branch at 1 and 2 cm and venae hepaticae intermediae and right hepatic veins at 1

and 3 cm in patients without liver diseases and those with cirrhosis Child-Pugh grade A and B. Methods Abdominal 64-MSCT scan was performed in 40 cases without liver diseases and 14 cases of cirrhosis after the test of the celiac levels of abdominal aorta was conducted by the smart tracking technology (Smart Prep). The data were processed for imaging on the GE ADW4.2 workstation. Results Significant difference was found between the normal group and cirrhosis Child-Pugh grade A and B groups

ФMHV1

ФRHV1 (P0.05). The diameter of the normal right hepatic vein at 1-2 cm and that of the middle hepatic vein at 1-2 cm decreased rapidly as compared with that of cirrhosis Child-Pugh grade A and B groups. There was also significant difference (P0.05) between the normal and cirrhosis Child-Pugh grade A and B groups in the simulated puncture channels of DMHV2-RPV1

DMHV3-RPV1

DMHV3-RPV2

and DRHV1-RPV1. Conclusion 64-MSCT and the three-dimensional reconstruction may be an effective way for accurate measurement of the intrinsic liver vessels in vivo. The study of the simulated intrahepatic portosystemic shunt can help to choose the appropriate length and type of the stents.

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