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B超作脾静脉内径测定诊断肝硬化的对照研究

Bultrasonographic Assay of Spleen Venous Diameter in Diagnosing Cirrhosis
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摘要 目的:提高B型超声诊断肝硬化的敏感性。方法:分为肝硬化组(42例)和对照组(113例)。对其脾静脉内径进行测定并分别记录深吸气和深呼气状态下脾静脉最大内径和最小内径。结果:对照组与肝硬化组脾静脉内测值资料用t检验,各组之间P<0.01,具有非常显著性意义。早晚期肝硬化相比,只有脾静脉扩张程度的不同,而差值变化不显著。结论:提示呼吸之间差值对于门脉高压的诊断是一个可以信赖的客观指标。 Purpose:To increase the sensitivity of Bultrasonography for diagnosing cirrhosis.Methods:The spleen venous diameters of cirrhosis patients(n=30) and controls(n=113) were measured.Results:The spleen venous diameters of cirrhosis patients were larger significantly than those of controls (P<0.05).The difference values between early cirrhosis and late cirrhosis showed no significant changes except different degrees of dilatation of spleen vein.Conclusion:This suggests that the difference value of spleen venous diameters between expiration and inspiration is the reliable and objective index for diagnosing portal hypertension and has definite value for increasing the diagnosis.
作者 何冰玲
出处 《华夏医学》 1998年第6期52-53,共2页 Acta Medicinae Sinica
关键词 B超 肝硬化 脾静脉 Bultrasonography cirrhosis splenic vein
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