中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2015年
11期
65-67
,共3页
实时超声造影%肝移植术前%门静脉通畅性
實時超聲造影%肝移植術前%門靜脈通暢性
실시초성조영%간이식술전%문정맥통창성
Real-time contrast-enhanced ultrasound%Preoperative liver transplantation%Portal vein flow
目的：比较目前的两种超声技术，普通超声和实时超声造影技术对肝脏移植手术前门静脉的畅通性评价特点。方法：对经普通超声技术检查后被怀疑门静脉一级分支或主干中有栓塞的34例患者进行实时超声造影检查。结果：经螺旋CT的门静脉成像、三维动态磁共振的血管成像和肝移植手术等方法的证实，34例患者中有27例门静脉栓塞患者，7例门静脉畅通患者。普通超声技术和实时超声造影技术的诊断信心评分分别为(8.32±1.89)分和(9.29±1.01)分；普通超声技术和实时超声造影技术的敏感性分别为87.9%和81.9％，特异性分别为32.8%和100%，准确性分别为68.7%和89.1%；鉴别栓子程度和栓子性质时，实时超声造影技术明显优于普通超声技术。其中，对于在实时超声造影技术中显示的16例门静脉栓塞患者，实时超声造影技术是可以百分百全部鉴别的，但在普通超声技术可以显示的17例门静脉栓塞患者中，只能鉴别出9例患者。结论：在肝移植手术前诊断门静脉的畅通性时，实时超声造影技术的诊断水平明显高于普通超声技术，能够提供更准确、丰富的术前诊断信息，实时超声造影技术可以很好地补充普通超声技术，值得临床推广应用。
目的：比較目前的兩種超聲技術，普通超聲和實時超聲造影技術對肝髒移植手術前門靜脈的暢通性評價特點。方法：對經普通超聲技術檢查後被懷疑門靜脈一級分支或主榦中有栓塞的34例患者進行實時超聲造影檢查。結果：經螺鏇CT的門靜脈成像、三維動態磁共振的血管成像和肝移植手術等方法的證實，34例患者中有27例門靜脈栓塞患者，7例門靜脈暢通患者。普通超聲技術和實時超聲造影技術的診斷信心評分分彆為(8.32±1.89)分和(9.29±1.01)分；普通超聲技術和實時超聲造影技術的敏感性分彆為87.9%和81.9％，特異性分彆為32.8%和100%，準確性分彆為68.7%和89.1%；鑒彆栓子程度和栓子性質時，實時超聲造影技術明顯優于普通超聲技術。其中，對于在實時超聲造影技術中顯示的16例門靜脈栓塞患者，實時超聲造影技術是可以百分百全部鑒彆的，但在普通超聲技術可以顯示的17例門靜脈栓塞患者中，隻能鑒彆齣9例患者。結論：在肝移植手術前診斷門靜脈的暢通性時，實時超聲造影技術的診斷水平明顯高于普通超聲技術，能夠提供更準確、豐富的術前診斷信息，實時超聲造影技術可以很好地補充普通超聲技術，值得臨床推廣應用。
목적：비교목전적량충초성기술，보통초성화실시초성조영기술대간장이식수술전문정맥적창통성평개특점。방법：대경보통초성기술검사후피부의문정맥일급분지혹주간중유전새적34례환자진행실시초성조영검사。결과：경라선CT적문정맥성상、삼유동태자공진적혈관성상화간이식수술등방법적증실，34례환자중유27례문정맥전새환자，7례문정맥창통환자。보통초성기술화실시초성조영기술적진단신심평분분별위(8.32±1.89)분화(9.29±1.01)분；보통초성기술화실시초성조영기술적민감성분별위87.9%화81.9％，특이성분별위32.8%화100%，준학성분별위68.7%화89.1%；감별전자정도화전자성질시，실시초성조영기술명현우우보통초성기술。기중，대우재실시초성조영기술중현시적16례문정맥전새환자，실시초성조영기술시가이백분백전부감별적，단재보통초성기술가이현시적17례문정맥전새환자중，지능감별출9례환자。결론：재간이식수술전진단문정맥적창통성시，실시초성조영기술적진단수평명현고우보통초성기술，능구제공경준학、봉부적술전진단신식，실시초성조영기술가이흔호지보충보통초성기술，치득림상추엄응용。
Objective:To compare the two kinds of ultrasonic imaging technology,common ultrasonic and real-time contrast-enhanced ultrasound technology to the smooth general characteristic evaluation characteristic of portal vein flow preoperative liver transplantation.Method:For suspected portal vein after normal ultrasound examination level branches or trunk of 34 patients with embolization were given real-time contrast-enhanced ultrasound examination.Result:The spiral CT portal imaging,3D dynamic magnetic resonance angiography and the proof of the method such as a liver transplant confirmed,in 34 patients,there were 27 cases of portal vein thrombosis,7 cases of portal vein flow.The diagnostic confidence score of ordinary ultrasound technology and real-time contrast-enhanced ultrasound were respectively (8.32±1.89)score and (9.29±1.01)score.The sensitivity of ordinary ultrasound technology and real-time contrast-enhanced ultrasound technology were 87.9%and 81.9%respectively,the specificity were 32.8%and 100% respectively,the accuracy were 68.7% and 89.1% respectively.Identify embolus embolus and degree on the nature,real-time contrast-enhanced ultrasound technology was superior to common ultrasonic technology.Among them,for real-time contrast-enhanced ultrasound techniques could be displayed in 16 patients with portal vein thrombosis,real-time ultrasound imaging technology could be absolutely all identification.But in ordinary ultrasound could display in 17 patients with portal vein thrombosis,only 9 patients were identified.Conclusion:In the smooth operation of liver transplantation before the diagnosis of portal vein,the diagnostic level of real-time ultrasound imaging technology is obviously higher than that of ordinary ultrasonic technology,can provide more accurate and abundant preoperative diagnosis information,Real-time ultrasound imaging technology can be a good supplement ordinary ultrasonic technology,is worthy of clinical application.
