应用超声多普勒探测肝中静脉血流频谱及参数对肝弥漫性病变的诊断价值  

Duplex Doppler of the Hepatic Veins in Patients with Diffuse Liver Disease

作　　者：阮力[1] 李和平[1] 孙芸[1] 戴林[1] 孙安华[1] 冷南[1] 韩捷[1] 

机构地区：[1]第四军医大学西京医院超声科,第四军医大学西京医院消化科,第四军医大学西京医院免疫科

出　　处：《中国超声医学杂志》1996年第1期10-12,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本研究通过应用超声多普勒探测７０例肝弥漫性病变患者及２１例肝炎病毒携带者肝中静脉血流频谱形态及参数，对照５６例正常人，筛选诊断肝弥漫性病变较为敏感及特异性指标。结果表明：（１）肝硬化及脂肪肝肝中静脉血流频谱异常（ＨＶ１或ＨＶ２型）为多数，约占８２．６％；（２）对照正常组，肝弥漫性病变及肝炎病毒携带者肝中静脉内径变细、血流速度加快、充盈指数减小；（３）以充盈指数（ＣＩ）≤０．０３诊断肝弥漫性病变及肝炎病毒携带者的敏感性、特异性和准确性分别为８７．９％、９１．１％及８９．１％，可作为临床早期诊断肝弥漫性病变的参考指标。To determine the characteristics of the Doppler hepatic venous flow(HVE) spectrum and di-ameter(D)of the middle hepatic vein (MHV)in 35 patients with liver cirrhosis(LC),19 patients with chronic hepatitis(CH),5 patients with acute hepatitis(AH ),11 patients with fatty liver ( FL),2 1 virus carrier(VC),and 56 normal control(NC)were examined with pulsed Doppler sonography(PDS). The results were:(1) the abnormal waves(HV1 or HV2)in the groups of LC and FL were 82.6%;(2)comparisons between the NC and the diffused liver disease (LC,CH,AH, FL)and VC groups showed that all the later groups had signifi-cantly less diameter,higher mean flow velocity(Vmean)values and low congestive index (CI)values of the MHV;(3)by CI≤0. 03 as the reference index for diagnosis all the above mentioned disease,Duplex Doppler diag-noxtic sensitivety,speciality and accurate rate were 87.9%;91.1%and 89.1%respectively.

关 键 词：肝疾病 弥漫性病变 肝中静脉 超声波诊断 

分 类 号：R575.05[医药卫生—消化系统] R445.1[医药卫生—内科学]