The correlation between collateral pathway development and Child-Pugh scores in Budd-Chiari syndrome
10.3760/cma.j.issn.1007-631X.2018.02.006
- VernacularTitle:布加综合征患者侧支循环类型与肝功能Child分级的相关性研究
- Author:
Lei WU
1
;
Qunli YAO
;
Maoheng ZU
;
Hao XU
Author Information
1. 215600,江苏省张家港市中医医院南京中医药大学附属张家港医院介入放射科
- Keywords:
Budd-Chiari syndrome;
Collateral circulation;
Magnetic resonance imaging;
Child-Pugh scores
- From:
Chinese Journal of General Surgery
2018;33(2):118-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the intra-and extra-hepatic collateral pathways in various ChildPugh scores by using liver acceleration volume acquisition (LAVA) enhanced magnetic resonance imaging (MRI).Methods The clinical data and imaging findings of 146 patients with Budd-Chiari syndrome (BCS) were collected and analyzed.Intra-and extra-hepatic collateral pathways were evaluated by LAVA enhanced MRI.Intra-and extra-hepatic collateral pathways was analyzed using the Kappa identity test.Correlations of the intra-/extra-hepatic collateral pathways with Child-Pugh scores were analyzed using the Chi-square test.Correlation was calculated by the Cramer correction coefficient of contingency.Results Among 146 BCS patients there were 50 grade A patients,79 grade B patients and 17 grade C patients.Among MRI demonstrated 6 types dilated collateral shunts,only accessory hepatic veins (AHVs) and superficial epigastric veins (SEVs) as collateral pathways were associated with the Child-Pugh scores (x2 =20.324,P ＜ 0.05,x2 =11.855,P ＜ 0.05,respectively).AHVs as collateral pathways were associated with score A and score C (x2 =7.159,P ＜ 0.05,X2 =17.662,P ＜ 0.05,respectively),while SEVs were with score A and score B (x2 =7.244,P ＜ 0.05,x2 =11.855,P ＜ 0.05,respectively).Conclusion AHVs and SEVs as collateral pathways were associated with Child-Pugh scores in cases of Budd-Chiari syndrome.
