CAJ | 학술논문

目的探讨彩色多普勒超声对肝硬化上消化道出血门静脉血流动力学改变的诊断价值.方法选择商丘市第一人民医院收治肝硬化患者86例,依据有无出血史将其分为出血组(50例)与无出血组(36例),另选择体检健康人群86例作为对照组,患者行彩色多普勒检测门脉血流动力学的参数.结果出血组较其他两组静脉内径及血流量显著增加,分流指数显著升高,而血流速度显著减慢,差异有统计学意义(P＜0.05).结论上消化道出血与脾静脉、门静脉血流动力学的变化密切相关,彩色多普勒可动态监测各项指标,对于预判门静脉高压引起的消化道出血及肝功能状况诊断具有重要意义,值得临床推广应用.
목적 탐토채색다보륵초성대간경화상소화도출혈문정맥혈류동역학개변적진단개치.방법 선택상구시제일인민의원수치간경화환자86례,의거유무출혈사장기분위출혈조(50례)여무출혈조(36례),령선택체검건강인군86례작위대조조,환자행채색다보륵검측문맥혈류동역학적삼수.결과 출혈조교기타량조정맥내경급혈류량현저증가,분류지수현저승고,이혈류속도현저감만,차이유통계학의의(P＜0.05).결론 상소화도출혈여비정맥、문정맥혈류동역학적변화밀절상관,채색다보륵가동태감측각항지표,대우예판문정맥고압인기적소화도출혈급간공능상황진단구유중요의의,치득림상추엄응용.
Objective To investigate the diagnostic value of color Doppler ultrasound on the changes of portal hemodynamics in cirrhosis of upper gastrointestinal hemorrhage.Methods Eighty-six patients with liver cirrhosis patients were selected from the First People' s Hospital of Shangqiu,including 50 cases of hemorrhage(bleeding group) and 36 cases without bleeding(non-bleeding group).Eighty-six healthy person were chosen from physical examination as the control group.Color Doppler was used to measure the portal blood flow of all the objects.Results Compared to the other two groups,vein diameter and blood flow increased,shunt index significantly increased,and the velocity of blood flow slowed down significantly in the bleeding group,the differences were significant (P ＜ 0.05).Conclusions The changes of portal hemodynamics is closely correlated with upper gastrointestinal hemorrhage,each index can be dynamidy monitored by color Doppler,and can be used as a valuable means of prediction of gastrointestinal bleeding caused by portal hypertension and liver function,so it is worthy to be popularized in the clinical application.