不同肝脏疾病的肝脏血管周围晕征出现情况及其MRI表现

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Abstract Objective To describe the pathological mechanism and MRI findings of PVL, discuss its association with the occurrence of the same liver diseases, and evaluate the clinical significance of PVL. Methods A total of 197 patients with liver-related diseases admitted to the Third People's Hospital of Jiujiang from January 2019 to January 2020 were retrospectively analyzed, and according to the disease type, they were divided into chronic hepatitis B group (111 cases), cirrhosis group (57 cases), and liver tumor group (29 cases). The MRI manifestations of PVL in the three groups were observed, and the MRI plain scan and enhanced image data of the upper abdomen of the patients were studied, and different liver diseases and different levels of PVL were analyzed. Results The PVL detection rate was 32.4% in patients with chronic hepatitis B, 31.0% in patients with liver tumor, and 40.4% in patients with cirrhosis. The incidence of PVL in patients with cirrhosis did not change with the increase of cirrhosis grading score (P＞0.05). The incidence of PVL in patients with hilar obstruction was higher than that in patients with uninvaded hilar area, and the difference was statistically significant (P＜0.05). Conclusion The MRI distribution and manifestations of PVL in different liver diseases have corresponding characteristics, which has reference value for the evaluation of the severity and prognosis of chronic hepatitis B disease, as well as the diagnosis of liver tumor invading the hepatic portal region.

Key words： Liver perivascular lucency Chronic hepatitis B Liver cirrhosis Liver cancer MRI

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	WANG Xu1 HE Yulin2

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WANG Xu1 HE Yulin2. Appearance and MRI findings of hepatic perivascular lucency in different liver diseases[J]. 中国当代医药, 2024, 31(1): 76-80.

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https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2024/V31/I1/76

[1]	Marincek B，Barbier PA，Becker CD，et al.CT appearance of impaired lymphatic drainage in liver transplants[J].AJR Am J Rientgenol，1986，147（3）：519-523.
[2]	Lawson TL，Thorsen MK，Erickson SJ，et al.Periportal halo：a CT sign of liver disease[J].Abdom Imaging，1993，18（1）：42-46.
[3]	Karcaaltincaba M，Haliloglu M，Akpinar E，et al.Multidetector CT and MRI findings in periportal space pathologies[J].Eur J Radiol，2007，61（1）：3-10.
[4]	梁永勤，李颖毅，杨维珍，等.肝脏血管周围晕征的MRI表现及其临床意义[J].中国临床新医学，2017，10（5）：464-466.
[5]	中华医学会传染病与寄生虫病学分会和肝病学分会.病毒性肝炎防治方案[J].中华内科杂志，2001，40（1）：64-70.
[6]	中华医学会肝病学分会.肝硬化诊治指南[J].临床肝胆病杂志，2019，35（11）：2408-2425.
[7]	孙慧芳，张慧宇，丁昌懋，等.CT动态增强扫描诊断肝窦阻塞综合征的临床价值及意义[J].肝脏，2016，21（6）：438- 440.
[8]	颜煖，孙莹，孔令，等.增强CT成像对肝窦阻塞综合征的诊断价值[J].CT理论与应用研究，2019，28（2）：263-270.
[9]	顾华勇，李兰涛，谭政帅，等.肝脏血管周围晕环征的CT表现及临床意义[J].潍坊医学院学报，2015，37（5）：354-356.
[10]	Kaplan SB，Sumkin JH，Campbell WL，et al.Periportal low-attenuation areas on CT：value as evidence of liver transplant rejection[J].AJR Am J Roentgenol，1989，152（2）：285-287.
[11]	孙平，孙成，王莹，等.肝脏淋巴管系统研究进展[J].中华医学写作杂志，2002，9（24）：2165-2166.
[12]	潘传敬，顾明，刘宽宇，等.CT诊断肝脏淋巴动力学异常的病理学基础[J].中华放射学杂志，1998，32（2）：133-134.
[13]	Aspestrand F，Schrumpf E，Jacobsen M，et al.Increased lymphatic flow from the live in different intra-and extrahepatic discases demonstrated by CT[J].J Comput Assist Tomogr，1991，15（4）：550-554.
[14]	张慧颖，张华芳.脂肪肝超声诊断结果探析[J].当代医学，2014，20（11）：101-102.
[15]	唐继芳.螺旋CT与磁共振成像对乙型肝炎肝硬化背景小肝癌的诊断对比研究[J].山西医药杂志，2018，47（19）：2273-2275.
[16]	中华医学会感染病学分会，中华医学会肝病学分会.慢性乙型肝炎防治指南（2022年版）[J].传染病信息，2023，36（1）：1-17.
[17]	张飞，张志勇.763例肝硬化患者的病因及临床特点分析[J].临床消化病杂志，2019，31（2）：89-92.
[18]	赵英，戴敏方.肝硬化的MRI诊断（附53例分析）[J].使用放射学杂志，1999（4）：41-43.
[19]	中华医学会肝病学分会，中华医学会消化病学分会，中华医学会感染病学分会.肝纤维化诊断及治疗共识（2019年）[J].中华肝脏病杂志，2019，35（10）：2163-2172.
[20]	师丹丹.钆塞酸二钠增强MRI定量评估肝纤维化及肝硬化的诊断价值研究[D].郑州：郑州大学，2022.
[21]	马玲玲，李华.获得性肝性脑部变性的临床与影像特点[J].中国实用神经疾病杂志，2011，14（16）：49-50.
[22]	张誉，杨永峰.不明原因肝硬化的病理诊断思路[J].临床肝胆病杂志，2023，39（3）：498-503.
[23]	Koslin DB，Stanley RJ，Berland LL，et al.Hepatic perivascular lymphedema：CT appearance[J].AJR Am J Roentgenol，1988，150（1）：111-113.
[24]	李兰涛，袁芬，韩金花，等.肝脏血管周围晕环征的CT诊断及临床意义[J].医学影像学杂志，2016，26（7）：1240-1242.
[25]	Guo Z，Blake GM，Li K，et al.Liver fat content measurement with quantitative CT validated against MRI Proton density fat fraction：A prospective study of 400 healthy volunteers[J].Radiology，2020，294（1）：89-97.
[26]	Wang ZS，Xu L，Ma L，et al.Hepatic falciform ligament clear cell myomelanocytic tumor：A case report and a comprehensive review of the literature on perivascular epithelioid cell tumors[J].BMC cancer，2015，15：1004.