CAJ | 학술논문

门静脉高压症(portal hypertension，PHT)是一种临床常见的综合征，目前临床上主要有直接测量法及间接测量法用于测量门静脉压力。直接测量法主要包括经典门静脉导管术、腹腔手术中门静脉的直接穿刺测压及通过B超探头引导下经皮经肝穿刺门静脉测压法；间接测量法主要包括通过多普勒超声观察肝脏门静脉血流动力学参数的变化、直肠静脉-门静脉放射性核素显像法、MRI门静脉血管造影、多排螺旋CT门静脉血管成像技术等。各种侵入性操作在临床上难以常规开展，而超声在临床上运用较为广泛，本文重点介绍超声无创评估PHT的现状及进展。
문정맥고압증(portal hypertension，PHT)시일충림상상견적종합정，목전림상상주요유직접측량법급간접측량법용우측량문정맥압력。직접측량법주요포괄경전문정맥도관술、복강수술중문정맥적직접천자측압급통과B초탐두인도하경피경간천자문정맥측압법；간접측량법주요포괄통과다보륵초성관찰간장문정맥혈류동역학삼수적변화、직장정맥-문정맥방사성핵소현상법、MRI문정맥혈관조영、다배라선CT문정맥혈관성상기술등。각충침입성조작재림상상난이상규개전，이초성재림상상운용교위엄범，본문중점개소초성무창평고PHT적현상급진전。
Portal hypertension (PHT) is a common clinical syndrome, the measurement methods of portal vein pressure mainly include two types: direct and indirect measurement methods. Direct methods including classic portal vein catheter technique, direct puncturing portal venous in the abdominal operation, ultrasound guided percutaneous tran-shepatic portal catheterization, etc. Indirect methods including color ultrasonic doppler observations in the portal hemo-dynamic changes, rectal vein-portal vein radionuclide imaging method, magnetic resonance angiography, spiral CT por-tal vein imaging (SCTP), etc. All kinds of invasive operations are not clinical routine, and ultrasound has been widely used in clinical, this article focuses on present situation and progress of ultrasonic noninvasive assessment of PHT.