CAJ | 학술논문

目的探讨声辐射力脉冲成像评价肝弹性在布加综合征治疗中的应用价值.方法 18例行球囊扩张术的布加氏综合征患者,于术前2d、术后2d、术后3个月及术后6个月利用声辐射力脉冲成像技术进行肝弹性测定,分析其变化情况.结果 16例患者成功进行球囊扩张术,患者治疗前后不同时间点肝弹性分别为(3.06±0.53)m/s、(2.13±0.50)m/s、(1.89±0.29)m/s及(1.96±0.46)m/s,治疗后2d及3个月时其弹性指数与前次测定相比差异具有统计学意义(P＜0.01).结论声辐射力脉冲成像测定的肝弹性值随静脉再通而明显降低,在监测布加氏综合征的治疗效果、术后复发等方面具有一定临床意义.
목적 탐토성복사력맥충성상평개간탄성재포가종합정치료중적응용개치.방법 18례행구낭확장술적포가씨종합정환자,우술전2d、술후2d、술후3개월급술후6개월이용성복사력맥충성상기술진행간탄성측정,분석기변화정황.결과 16례환자성공진행구낭확장술,환자치료전후불동시간점간탄성분별위(3.06±0.53)m/s、(2.13±0.50)m/s、(1.89±0.29)m/s급(1.96±0.46)m/s,치료후2d급3개월시기탄성지수여전차측정상비차이구유통계학의의(P＜0.01).결론 성복사력맥충성상측정적간탄성치수정맥재통이명현강저,재감측포가씨종합정적치료효과、술후복발등방면구유일정림상의의.
Objective To discuss the value of liver stiffness measured using acoustic radiation force impulse imaging in the treatment of patients with Budd-Chiari syndrome.Methods Eighteen patients were enrolled in this study.All the patients were performed percutaneous luminal angioplasty.Liver stiffness was measured 2 days before,2 days after,3 months after and 6 months after the treatment,and the difference of liver stiffness was analyzed.Results Sixteen patients achieved successful recanalization and underwent significant decrease of liver stiffness after angioplasty 2 days and 3 months after the treatment [P ＜0.01,with the liver stiffness of (3.06 ± 0.53)m/s,(2.13 ± 0.50)m/s,(1.89 ± 0.29)m/s and (1.96 ± 0.46)m/s respectively in the four time points].Percutaneous luminal angioplasty failed in two patients and there was no significant decrease of liver stiffness in those patients.Recurrence of obstruction after successful recanalization occurred in one patient,and the liver stiffness significantly rose (P ＜0.01).Conclusions The value of liver stiffness measured using acoustic radiation force impulse imaging significantly decreased after angioplasty and is considered to be valuable in reflecting the recanalization of hepatic vein and recurrence of obstruction.