CAJ | 학술논문

目的：探讨超声检查在肝硬化门静脉高压诊断中的临床应用效果。方法以110例确诊为肝硬化门静脉高压症的患者作为研究组，95例同期在湖南省人民医院体检中心检查的健康者作为健康对照组，以彩色多普勒超声检查其脾静脉、门静脉血管情况。结果研究组患者脾静脉内径值、门静脉内径值、门静脉血流量/脾静脉血流量值分别为（1．12±0．24）cm、（1．43±0．52）cm、（0．56±0．09），明显高于健康对照组的（0．61±0．48）cm、（0．99±0．37）cm、（0．24±0．15），差异有统计学意义（ P＜0．05）。脾静脉内径小于1．0 cm组患者重度静脉曲张发生率为21．3％，≥1．0cm组重度静脉曲张发生率为44．4％，脾静脉内径小于1．0cm组重度静脉曲张发生率显著低于大于或等于1．0cm 组，差异有统计学意义（P＜0．05）。门静脉内径小于1．4 cm 组患者重度静脉曲张发生率为18．0％，≥1．4cm组重度静脉曲张发生率为43．3％，门静脉内径小于1．4cm组患者重度静脉曲张发生率显著低于大于或等于1．4 cm组，差异有统计学意义（ P＜0．05）。结论超声检查对肝硬化门静脉高压症的诊断具有良好的敏感性和特异性，值得临床进一步推广应用，同时其对食管胃底静脉曲张程度也具有一定的诊断价值。
목적：탐토초성검사재간경화문정맥고압진단중적림상응용효과。방법이110례학진위간경화문정맥고압증적환자작위연구조，95례동기재호남성인민의원체검중심검사적건강자작위건강대조조，이채색다보륵초성검사기비정맥、문정맥혈관정황。결과연구조환자비정맥내경치、문정맥내경치、문정맥혈류량/비정맥혈류량치분별위（1．12±0．24）cm、（1．43±0．52）cm、（0．56±0．09），명현고우건강대조조적（0．61±0．48）cm、（0．99±0．37）cm、（0．24±0．15），차이유통계학의의（ P＜0．05）。비정맥내경소우1．0 cm조환자중도정맥곡장발생솔위21．3％，≥1．0cm조중도정맥곡장발생솔위44．4％，비정맥내경소우1．0cm조중도정맥곡장발생솔현저저우대우혹등우1．0cm 조，차이유통계학의의（P＜0．05）。문정맥내경소우1．4 cm 조환자중도정맥곡장발생솔위18．0％，≥1．4cm조중도정맥곡장발생솔위43．3％，문정맥내경소우1．4cm조환자중도정맥곡장발생솔현저저우대우혹등우1．4 cm조，차이유통계학의의（ P＜0．05）。결론초성검사대간경화문정맥고압증적진단구유량호적민감성화특이성，치득림상진일보추엄응용，동시기대식관위저정맥곡장정도야구유일정적진단개치。
Objective To study the clinical effect of ultrasound in the diagnosis of portal hypertension .Meth-ods A total of 110 cirrhosis patients with portal hypertension were enrolled as study group ,and 95 healthy subjects were enrolled as control group .Ultrasound examination was used to detect situation of splenic vein and portal vein . Results Values of inside diameter of splenic vein ,portal vein and Qsv/Qpv in study group were (1 .12 ± 0 .24)cm , (1 .43 ± 0 .52)cm ,(0 .56 ± 0 .09) ,which were receptively higher than the (0 .61 ± 0 .48)cm ,(0 .99 ± 0 .37)cm and (0 .24 ± 0 .15) of control group (P<0 .05) .Incidence rate of severe esophageal varices was 21 .3% in patients with inside diameter of splenic vein less than 1 .0 cm ,which was lower than the 44 .4% in patients with inside diameter of splenic vein at least 1 .0 cm (P<0 .05) .Incidence rate of severe esophageal varices was 18 .0% in patients with inside diameter of portal vein less than 1 .4 cm ,which was lower than the 43 .3% in patients with inside diameter of portal vein at least 1 .4 cm (P<0 .05) .Conclusion Ultrasonography might be sensitive and specific in the diagnosis of cir-rhosis with portal hypertension ,which could be worth of further clinical promotion and application .While it also could be with some diagnostic value in evaluation of degree of esophageal varices .