中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2014年
10期
114-116
,共3页
肝淤血%声像图%分析
肝淤血%聲像圖%分析
간어혈%성상도%분석
Liver blood%Ultrasonography%Analysis
目的：探讨肝淤血二维及彩色多普勒超声表现，为临床治疗右心衰疗效评价提供理论依据。方法回顾232例肝淤血患者的声像图进行分析。结果232例淤血性肝脏患者中97例为早期淤血性肝脏，占41.8%。声像图表现为肝脏各径线测值均增大，左肝厚度≥6.0cm，右肝最大斜径≥14cm，肝实质回声稍有减弱，肝静脉内径增宽1.0cm左右。135例有淤血性肝硬化，占58.2%。其中100例为75岁以上患者，占74.1%。声像图表现肝脏测值相应减小，右肝减小明显，肝表面比较光滑或偶有细结节状突起，肝实质回声增强增多，肝静脉各支显著增宽、扩张。232例患者中，合并腹水患者49例，占21.1%，合并胸水患者55例，占23.7%，合并胸、腹水患者45例，占19.4%，同时合并有胸水、腹水及心包积液患者25例，占10.8%。结论超声对淤血性肝脏病变的诊断符合率较高，且能与其他肝脏弥漫性病变相鉴别，对临床治疗方案选择及疗效评价有实用意义。
目的：探討肝淤血二維及綵色多普勒超聲錶現，為臨床治療右心衰療效評價提供理論依據。方法迴顧232例肝淤血患者的聲像圖進行分析。結果232例淤血性肝髒患者中97例為早期淤血性肝髒，佔41.8%。聲像圖錶現為肝髒各徑線測值均增大，左肝厚度≥6.0cm，右肝最大斜徑≥14cm，肝實質迴聲稍有減弱，肝靜脈內徑增寬1.0cm左右。135例有淤血性肝硬化，佔58.2%。其中100例為75歲以上患者，佔74.1%。聲像圖錶現肝髒測值相應減小，右肝減小明顯，肝錶麵比較光滑或偶有細結節狀突起，肝實質迴聲增彊增多，肝靜脈各支顯著增寬、擴張。232例患者中，閤併腹水患者49例，佔21.1%，閤併胸水患者55例，佔23.7%，閤併胸、腹水患者45例，佔19.4%，同時閤併有胸水、腹水及心包積液患者25例，佔10.8%。結論超聲對淤血性肝髒病變的診斷符閤率較高，且能與其他肝髒瀰漫性病變相鑒彆，對臨床治療方案選擇及療效評價有實用意義。
목적：탐토간어혈이유급채색다보륵초성표현，위림상치료우심쇠료효평개제공이론의거。방법회고232례간어혈환자적성상도진행분석。결과232례어혈성간장환자중97례위조기어혈성간장，점41.8%。성상도표현위간장각경선측치균증대，좌간후도≥6.0cm，우간최대사경≥14cm，간실질회성초유감약，간정맥내경증관1.0cm좌우。135례유어혈성간경화，점58.2%。기중100례위75세이상환자，점74.1%。성상도표현간장측치상응감소，우간감소명현，간표면비교광활혹우유세결절상돌기，간실질회성증강증다，간정맥각지현저증관、확장。232례환자중，합병복수환자49례，점21.1%，합병흉수환자55례，점23.7%，합병흉、복수환자45례，점19.4%，동시합병유흉수、복수급심포적액환자25례，점10.8%。결론초성대어혈성간장병변적진단부합솔교고，차능여기타간장미만성병변상감별，대림상치료방안선택급료효평개유실용의의。
ObjectiveTo study the sonograms of 232 patients with liver congestion. To provide theoretical basis for clinical effect assessment of right heart failure.Methods Review of 232 patients with liver blood for analysis. Results97 patients in 232 were early hemorrhagic liver, accounting for 41.8%. Ultrasonographic findings of hepatic each diameter line measurements were increased, and the thickness of the left hepatic acuity was 6.0㎝, maximum oblique diameter was 14cm greater, the right liver liver parenchyma echo weakened slightly, hepatic vein around 1.0cm wide diameter. With silt hemorrhagic cirrhosis of the liver, 135 cases(58.2%).100 cases of 75 aged patients, accounting for 74.1%.Ultrasonographic performance measurements corresponding decreases, and the liver decreased obviously, the right liver liver surface was smooth and fine nodular or occasional bumps, hepatic parenchymal echogenicity increased, hepatic vein each significant broadening, expansion.232 cases of patients, 49 cases of patients with ascites (21.1%), merger, 55 patients with pleural effusion(23.7%), merger, 45 patients with ascites combined pleural effusion, accounting for 19.4%, at the same time, with 25 patients with pleural effusion, ascites and pericardial effusion, accounting for 10.8%.Conclusion The diagnostic accordance rate of ultrasound for liver congestion is higher, which can identificat with other liver diffuse disease. It has practical significance in selection of clinical treatment and curative effect evaluation.
