摘要
采用经颈静脉肝内门体分流术 (TIPS)治疗 8例肝硬化门静脉高压 (CPH)食管静脉曲张出血患者 ,用彩色多普勒超声显像仪对治疗前后患者门静脉血液动力学改变进行了研究 ,结果表明TIPS术后门静脉血流速度、血流量明显增高 ,由术前 (10 2 6± 4 2 5 )cm s ,(1145 36± 436 5 2 )ml min增高至术后 1,3周的 (2 1 70± 5 89)cm s,(19 72±5 2 4)cm s和 (2 2 38 79± 971 44 )ml min ,(2 0 5 4 71± 880 5 6 )ml min ,P <0 0 1,0 0 5。门静脉压力由 (3 6 0± 0 70 )kPa降至 (1 73± 0 35 )kPa ,P <0 0 1,肝硬化门静脉高压症患者TIPS术前进行彩色多普勒门静脉显像测定 ,了解门静脉血流状态、血管走行、有无血栓 。
Objective:To study the applicability of Color Doppler ultrasound in transjugular intrahepatic portosystemic shunt (TIPS) for the pa-tients with portal hypertension due to cirrhosis (CPH).Methods:8patients of hemorrhage from esophageal varices with CPH were perfomed TIPS treatment in our department.In these cases,Color Doppler Ultrasonic Angiograph was adopted to study the hemo-dynamic changes of portal vein fore and after the treatment.Results:The pylic velocity of blood flow significantly increased from preo-perative (10.26±4.25)cm/s to postoperative (21.70±5.98)cm/s and (19.72±5.24)cm/s in the first and fifth week respectively (P<0.01).The pylic volume of blood flow significantly increased from preoperative (1145.36±436.52) ml/min to postoperative(2238.79±971.4) ml/min and (2054.36±880.56) ml/min in the first and fifth week respectively (P<0.05).The pressure of portal vein decreased from preoperative (3.6±0.7) kPa to postoperative (1.73±0.35) kPa (P<0.01).Conclusions:For the patients with CPH,the pylic display assay with Color Doppler Ultrasonic Angiograph contributes to understand the status of blood flow vascular line feed and thrombus of portal vein.The application of Color Doppler Ultrasonic Angiograph lends itself to choosing the surgical indications and judging the therapeutic prognosis TIPS.
出处
《中国现代医学杂志》
CAS
CSCD
2000年第1期8-9,共2页
China Journal of Modern Medicine
关键词
彩色多普勒
门静脉高压症
TIPS
治疗
Transjugular Intrahepatic Portosystemic Shunt TIPS
Color Doppler Ultrasound
Portal Hypertension
