主门静脉直径变化为恶性癌症而接受胃外科手术的患者:观察性CT研究
Elif Gündoğdu1, Fatma Didem Bayav2, İhsan Burak Karakaya3
1Department of Radiology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.
The Indian journal of radiology & imaging
|March 29, 2024
概括
恶性瘤的胃外科手术会在手术后3个月内显著增加主门静脉 (MPV) 的直径. 这种MPV扩大在第一年的随访期间保持稳定,有助于准确的诊断.
科学领域:
- 放射学 放射学是一门学科.
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 恶性癌症的胃外科手术可能会导致随访CT扫描中的偶然发现.
- 观察到主要门静脉 (MPV) 直径的孤立增加,没有门脉高血压的迹象.
研究的目的:
- 为了评估MPV直径在恶性瘤胃外科手术前和后的患者的变化.
- 在术后后续检查期间评估MPV直径的时间变化.
主要方法:
- 从149名经过胃恶性瘤手术的患者CT图像的回顾性分析.
- 在门静脉阶段的多探测器CT扫描上测量的MPV直径.
- 测量是在距离骨汇合处的标准位置进行的.
主要成果:
- 从手术前到3个月,6个月和1年的术后CT扫描中,MPV直径显著增加 (p < 0.001).
- 在3个月,6个月和1年的术后扫描之间没有发现MPV直径的显著差异.
- 观察到的MPV扩大是一个孤立的发现,与门高血压的其他迹象无关.
结论:
- 恶性瘤的胃外科手术后,MPV直径在前3个月内增加.
- 这种MPV扩大在整个跟踪的第一年保持不变.
- 放射科医生对这种短暂的MPV增加的认识可以防止错误诊断门高血压和不必要的调查.
更多相关视频
04:00Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
166
07:29Rat Model of the Associating Liver Partition and Portal Vein Ligation for Staged Hepatectomy ALPPS Procedure
Published on: August 14, 2017
14.7K
相关概念视频
Esophageal Varices-I: Introduction
127
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
127
Esophageal Varices-II: Clinical Features and Management
60
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
60
Peptic Ulcer Disease V: Surgical Management and Nursing Care
302
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
302
