中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
14期
40-41
,共2页
肝硬化%门静脉高压%血流动力学%超声诊断
肝硬化%門靜脈高壓%血流動力學%超聲診斷
간경화%문정맥고압%혈류동역학%초성진단
Liver cirrhosis%Portal hypertension%Haemodynamics%Ultrasonic diagnosis
目的：探讨超声诊断肝硬化门静脉高压的血流动力学变化的临床价值和意义。方法选取我院收治的148例肝硬化门静脉高压患者作为研究对象。另取健康对照组40例。采用超声检查患者门静脉（PV），脾静脉（SV）及肠系膜上静脉（SMV）的内径D、平均血流速度V和血流量Q，比较两组检查后的数据结果；对肝硬化进行分级，比较各级肝硬化的血流动力学变化。结果肝硬化组患者较对照组的PV、SV、SMV内径明显增宽，Q增加、V减慢，P＜0.05，具有统计学意义；A、B、C三级的PV内径递增，但P＞0.05，不具有统计学意义；而V值三级之间差异较为明显，P＜0.05，具有统计学意义；而A、B组在Q上无差异（P＞0.05），C组差异较为明显（P＜0.05）。结论应用超声检查肝硬化门静脉高压可准确分析出其血流动力学变化，对肝功能判断和治疗方案的选择有着重要的指导意义。
目的：探討超聲診斷肝硬化門靜脈高壓的血流動力學變化的臨床價值和意義。方法選取我院收治的148例肝硬化門靜脈高壓患者作為研究對象。另取健康對照組40例。採用超聲檢查患者門靜脈（PV），脾靜脈（SV）及腸繫膜上靜脈（SMV）的內徑D、平均血流速度V和血流量Q，比較兩組檢查後的數據結果；對肝硬化進行分級，比較各級肝硬化的血流動力學變化。結果肝硬化組患者較對照組的PV、SV、SMV內徑明顯增寬，Q增加、V減慢，P＜0.05，具有統計學意義；A、B、C三級的PV內徑遞增，但P＞0.05，不具有統計學意義；而V值三級之間差異較為明顯，P＜0.05，具有統計學意義；而A、B組在Q上無差異（P＞0.05），C組差異較為明顯（P＜0.05）。結論應用超聲檢查肝硬化門靜脈高壓可準確分析齣其血流動力學變化，對肝功能判斷和治療方案的選擇有著重要的指導意義。
목적：탐토초성진단간경화문정맥고압적혈류동역학변화적림상개치화의의。방법선취아원수치적148례간경화문정맥고압환자작위연구대상。령취건강대조조40례。채용초성검사환자문정맥（PV），비정맥（SV）급장계막상정맥（SMV）적내경D、평균혈류속도V화혈류량Q，비교량조검사후적수거결과；대간경화진행분급，비교각급간경화적혈류동역학변화。결과간경화조환자교대조조적PV、SV、SMV내경명현증관，Q증가、V감만，P＜0.05，구유통계학의의；A、B、C삼급적PV내경체증，단P＞0.05，불구유통계학의의；이V치삼급지간차이교위명현，P＜0.05，구유통계학의의；이A、B조재Q상무차이（P＞0.05），C조차이교위명현（P＜0.05）。결론응용초성검사간경화문정맥고압가준학분석출기혈류동역학변화，대간공능판단화치료방안적선택유착중요적지도의의。
Objective To explore the clinical values of haemodynamics changes and ultrasonic diagnosis for liver cirrhosis and portal hypertension. Methods 148 patients with liver cirrhosis and portal hypertension in our hospital were selected as the study objects, and another 40 healthy people were selected as the control group. Inner diameter (D), average blood velocity (V) and quantity (Q) of portal vein (PV), splenic vein (SV), and superior mesenteric vein (SMV) were detected by ultrasound, then compared the detection results and graded liver cirrhosis, haemodynamics changes of all grades were compared. Results PV, SV, SMV of liver cirrhosis group had widened significantly compared with control group, and Q increased, V slowed down, P<0.05, with statistical significance;PV inner diameter of grade A, B, C increased gradually, P>0.05, differences were not statistically significant;but differences of V value between three grades were significant, P<0.05, the result was statistically significant;there was no significant differences between grade A, B in Q value, but differences with grade C were statistically significant (P<0.05). Conclusion Applying ultrasound in the examination of liver cirrhosis and portal hypertension can analyze the haemodynamics changes accurately, having important values in liver function examination and treatment chooses.
