Objective: To set up CEAP system for the diagnosis of portal hypertention.
Methods:Based on CEAP system from American Venous Forum, the clinical and pathologic classification of Budd-Chiari syndrome from Xu, the clinical and pathologic data of 251 cases of portal hypertension were analyzed retrospectively.
Results:According to the results of imaging examination ［(Doppler ultrasound, percutaneous splenoportography, selective angiography of mesenteric artery, multi-slice spiral CT (MSCT) three dimensional (3D) reconstruction］, clinical and pathological data, CEAP system for the diagnosis of portal hypertention was defined as follows: Clinical manifestation (C) including mild and severe types; Etiology (E) (congenital, primary, secondary); Anatomy (A) consists of liver, inferior vena cava, hepatic veins, and portal vein system; Pathophysiology (P) could have liver fibrosis/cirrhosis, obstruction, thrombosis, intrahepatic collateral circulation and tumors.
Conclusions:CEAP system for correct diagnosis, classification as well as the individual treatment is of great practical importance, and could be wide application.