摘要
[目的]探讨通过彩色多普勒测定肝硬化患者门静脉血流动力指标改变的临床价值。[方法]随机入选79例肝硬化患者为观察组,根据Child-Pugh法予以肝功能分级示A级27例,B级26例,C级26例;再入选79例肝功能正常者作为对照组。对2组患者门静脉内径、血流速度、血流量以及脾静脉内径、厚度、各项体征腹水情况等指标进行彩色超声检测。[结果]观察组门静脉内径、血流量、血流速度、血流量、脾静脉内径、腹水及食管静脉曲张出血情况与对照组比较,差异有统计学意义(P<0.05);观察组中不同肝功能分级患者间超声结果亦存在差异性(P<0.05)。[结论]予以彩色多普勒对门静脉血流动力学进行观察监测,有助于临床对肝硬化进展状况的准确判断,是肝硬化极为重要的临床辅助检查手段。
[Objective]To determine the portal vein hemodynamics indexes in the diagnosis of hepatic cirrhosis by color Doppler. [Methods] Seventy-nine cases of hepatic cirrhosis were randomly selected and divided into A （n=27）, B（n=26） and C （n=26） group according to the Child - Pugh method, and 79 ca- ses with normal liver function were selected as control. The portal vein diameter （ D ）,blood flow velocity （ V ）,blood flow （ Q ） and spleen vein diameter,thickness,the sign of ascites in all patients were detected by color-Doppler ultrasonography. [Results]Compared with those in the control group, the portal vein D, V,Q, spleen diameter, ascites and esophageal varices bleeding was remarkably changed in the observation group, respectively （ P〈0.05 ）. Different levels of cirrhosis were found with different ultrasound results （ P〈0.05 ）. [Conclusion] The changes of color Doppler monitoring hemodynamics of portal vein could be useful for the clinical judgment of cirrhosis.
出处
《中国中西医结合消化杂志》
CAS
2013年第5期257-259,共3页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
关键词
肝硬化
门静脉
彩色超声心动图
血流动力学
hepatic cirrhosis
portal vein
color Doppler ultrasound
hemodynamics
