The clinical investigation of the portal circulation, with special reference to portal venography.
The clinical investigation of the portal circulation, with special reference to portal venography.
复制标题
门静脉循环的临床研究，特别是门静脉造影。
DOI：
10.1093/oxfordjournals.qjmed.a066719
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发表时间：
1955
期刊：
影响因子：
--
通讯作者：
R. Steiner
中科院分区：
文献类型：
--
作者：
M. Atkinson;E. Barnett;S. Sherlock;R. Steiner
只是在最近几年才有可能通过X线片显示门静脉系统（表I）。门腔静脉分流术的引入提供了一个机会，使不透射线材料可以引入门静脉。1947年，Farinas首次记录了人类门静脉造影术，他将造影剂注入一名门腔静脉吻合患者的长隐静脉，从而勾勒出门静脉及其肝内分支。Dotter、Payne和O 'Sullivan（1950）将心脏导管沿着下腔静脉并通过门腔静脉吻合口，将造影剂直接注入门静脉。Blakemore和Lord（1945）描述了剖腹手术时进行的门静脉造影，de Sousa佩雷拉（1949）、Child、O 'Sullivan、Payne和麦克卢尔（1951）、Leger、Gouth、Arvay、Oudot和Auvert（1951）以及摩尔和Bridenbaugh（1951）也曾报道过。”查尔德和他的同事们说。14例门静脉造影，采用肠系膜上静脉（上级静脉）分支注入造影剂。他们能够证明在局部恶性和炎症情况下门静脉的移位和闭塞，并在这种情况下勾勒出侧支通道。根据肝内门脉分支的分布和大小可判断肝脏的大小。Celis、埃斯皮诺萨和Fregoso（1948）通过将导管插入前腹壁的浅侧支通道，对1例持续性脐静脉（Cruveilhier-Baumgarten综合征）患者进行门静脉造影。然而，腹壁侧支血管很少大到足以用这种方法勾画出门静脉。施泰因巴赫、Bierman、米勒和Wass（1953）将一根针穿过前腹壁进入门静脉的肝内分支，注射碘司特，从而勾画出门静脉系统的肝内分支。该手术对患者并非没有风险，但没有提供有关肝外门静脉床的信息。Rigler、Olfelt和Krumbach（1953）通过将造影剂注入内脏动脉进行内脏动脉造影。
ONLY in recent years has it become possible to demonstrate the portal venous system radiographically (Table I). The introduction of the portocaval shunt operation provided an opportunity whereby radio-opaque material could be introduced into the portal vein. Portal venography in man was first recorded in 1947 by Farinas, who injected contrast medium into the long saphenous vein of a patient who had a portocaval anastomosis, thus outlining the portal vein and its intrahepatic branches. Dotter, Payne, and O'Sullivan (1950) passed a cardiac catheter along the inferior vena cava and through the portocaval anastomosis, and injected the contrast medium directly into the portal vein. Portal venography performed at laparotomy was described by Blakemore and Lord (1945), and has since been reported by de Sousa Pereira (1949), Child, O'Sullivan, Payne, and McClure (1951), Leger, Gaily, Arvay, Oudot, and Auvert (1951), and Moore and Bridenbaugh (1951). Child and his colleagues reported. 14 portal venograms made by injecting contrast medium into a tributary of the superior mesenterio vein. They were able to demonstrate displacement and occlusion of the portal vein in local malignant and inflammatory conditions, and to outline collateral channels in such cases. The size of the liver could be determined from the distribution and size of the intrahepatic portal branches. Celis, Espinosa, and Fregoso (1948) outlined the portal vein by means of contrast medium injected through a catheter inserted into the superficial collateral channel on the anterior abdominal wall in a patient who had a persistent umbilical vein (Cruveilhier-Baumgarten syndrome). Abdominal-wall collaterals, however, are very seldom large enough for the portal vein to be outlined by this means. Steinbach, Bierman, Miller, and Wass (1953) passed a needle through the anterior abdominal wall into an intrahepatio branch of the portal vein, injected diodrast, and so outlined the intrahepatic branches of the portal system. This procedure, which is not without risk to the patient, does not give information about the extrahepatio portal bed. Rigler, Olfelt, and Krumbach (1953) performed splanchnic arteriography by injecting contrast medium into the