彩色多普勒与病理学检查对慢性乙型肝炎肝硬化门脉血流动力学的对比分析  

Comparison between hemodynamics in portal veins with color Doppler and pathology in patients with chronic hepatitis B and/or with cirrohsis

作　　者：田瑞霞[1] 罗福成[1] 陈文笔[2] 严家春[2] 左鲁生[2] 

机构地区：[1]解放军第105医院特诊科,合肥市230031 [2]解放军第123医院

出　　处：《实用肝脏病杂志》2004年第3期138-140,共3页Journal of Practical Hepatology

摘　　要：目的　研究慢性乙型肝炎 (CHB)和肝硬化患者门脉系统彩色多普勒超声 (CDFI)检查血流动力学改变与肝组织病变的关系。方法　 82例CHB或肝硬化患者 ,在实施CDFI检测的同时进行肝组织活检诊断。CDFI检测与病理学诊断用双盲法。采用CDFI检测患者的门静脉主干 (MPV)、门静脉左支矢状部 (LPV)、门静脉右支 (RPV)、脾门处脾静脉(SPV)血流动力学变化 ,即内径 (D ,cm)及流速 (V ,cm/s)。结果　CDFI提示各组CHB和肝硬化患者上述静脉的流速与对照组相比除CHB轻度外皆显著降低 (P <0 .0 1)。结论　CDFI提供的信息对于CHB及肝硬化的诊断 ,具有重要的实用价值。Objective To study the relationship between changes of hemodynamics in portal veins with color Doppler flow imaging (CDFI) and lesions of the livers in patients with chronic hepatitis B (CHB) and/or with cirrohsis. Methods 82 patients were checked by CDFI and liver biopsies. CDFI determination and pathological diagnosis were made with a double blind method. The changes of hemodynamics in the main, the arrow area of left branch, the right branch of portal veins and splenic veins, including diameter (cm) and velocity (cm/s) were delected by CDFI. Results The results of CDFI showed that the velocity in all patients but CHB of mild degree decreased significantly comparing with the normal group ( P<0.01 ). Conclusion The information provided by CDFI can diagnose CHB, cirrohsis and this has an important practical value.

关 键 词：彩色多普勒 病理学检查 慢性乙型肝炎 肝硬化 门脉血流动力学 对比分析 

分 类 号：R512.62[医药卫生—内科学]