Objective To analyze the clinical features and imaging features of Vascular Behçet's Disease(BD)and to improve the recognition of this disease.Methods The clinical manifestations and imaging features of patients with vascu-lar BD from December,2020 to October,2023 were collected.Results Among the 20 cases of BD,The male to female ratio of vascular type BD patients was 4∶1,with an average age of 40.3 years.95%of patients had oral ulcers,80%had both oral and genital ulcers,25%had skin lesions,and 25%had ophthalmitis.About half of the patients had elevated in-flammatory markers.All patients had vascular involvement,mainly manifested as aneurysm or tumor like dilation,arterial stenosis,and venous thrombosis.All 20 patients were treated with glucocorticoids or immunosuppressants.After follow-up,13 cases showed stable conditions,1 case showed no improvement,and 2 cases died.Conclusion Vascular BD is com-mon in males and has diverse clinical manifestations.Both arteries and veins are affected.Imaging examination can effec-tively evaluate aneurysms or venous thrombosis,providing a basis for subsequent treatment.