肝短静脉的超声检测及临床价值  

Detection of short hepatic vein by ultrasound and its clinical value

作　　者：陈松旺[1] 孟凡荣[1] 陆建平[1] 黄岩[1] 赵美丽[1] 

机构地区：[1]南京医科大学附属南京第一医院超声科,江苏南京210006

出　　处：《中国医学影像技术》2007年第10期1531-1534,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的研究肝短静脉(SHV)的超声检测方法、超声表现、分布特点及临床价值。方法依据肝静脉内径将324例患者分为2组(1组:3支肝静脉内径<10mm,192例;2组:至少1支肝静脉内径≥10mm,132例),应用彩色多普勒超声进行观测,检查并记录肝短静脉的位置、数目、管径、血流频谱。结果SHV检出率:1组检出SHV60例,检出率31.25%,测及84支SHV;2组检出SHV76例,检出率57.58%,测及88支SHV。1支SHV检出率:1组42例,占21.88%;2组64例,占48.48%。2支SHV检出率:1组12例,占6.25%;2组12例,占9.09%。3支SHV检出率:1组6例,占3.13%;2组0例。肝右后静脉检出率:1组18例,检出率9.38%;2组12例,检出率9.09%。尾叶静脉检出率:1组60例,检出率31.25%;2组76例,检出率57.58%。2组肝右静脉、肝中静脉、肝左静脉、下腔静脉内径均非常显著大于1组(P<0.01),1组与2组肝右后静脉、2组与1组肝尾叶静脉检出率有显著差异(P<0.01),但1组、2组SHV内径未见明显差异(P>0.05)。结论二维结合彩色多普勒超声能提高肝短静脉的显示,为肝肿瘤患者肝叶段切除、肝移植、布-加综合征的治疗及肝淤血的诊断提供参考依据,有助于减少手术风险及并发症的发生。Objective To investigate ultrasonic detection method, ultrasonic appearance, distributive features and its clinical value of the short hepatic veins （SHV）. Methods According to the diameter of hepatic vein, a total of 324 cases were divided into two groups （group 1： the diameter of three hepatic veins 〈10 mm, 192 cases; group 2： at least the diameter of one hepatic vein ≥10 mm, 132 cases）, SHV were detected by ultrasound. The location, numbers, diameter, blood flow spectra of SHV were studied. Results Detection rate of SHV： 84 SHV were discovered in 60 of 192 cases （31.25%） in group 1, and 88 SHV in 76 of 132 cases （57.58%） in group 2. Detection rate of 1 SHV： 42 cases in group 1 （21.88%）, and 64 cases in group 2 （48.48%）. Detection rate of 2 SHVs： 12 cases in group 1 （6.25%）, and 12 cases in group 2 （9.09%）. Detection rate of 3 SHVs： 6 cases in group 1 （3.13%）, 0 case in group 2 （0%）. Detection rate of the right post SHV： 18 cases in group 1 （9.38%）, and 12 cases in group 2 （9.09%）. Detection rate of SHV of caudate lobe： 60 cases in group 1 （31.25%）, and 76 cases in group 2 （57.58%）. The diameter of hepatic veins, inferior vena cava in group 1 were obviously larger than that in group 2 （P〈0.01）, the display rate of the right post SHV in group 1 was obviously higher than that in group 2 （P〈0.01）, and the display rate of SHV of caudate lobe in group 2 was obviously higher than that in group 1 （P〈0.01）. There was no difference between the diameters of SHV in group 1 and 2 （P〉0.05）. Conclusion SHV could be displayed by 2-dimensional ultrasound with color Doppler ultrasound. Useful information for hepatic lobe resection, liver transplantation, Budd-Chiari syndrome and hepatic gore could be provided by ultrasound, and reduce operative risk and complication.

关 键 词：肝短静脉 超声检查 彩色多普勒 肝脏 

分 类 号：R445.1[医药卫生—影像医学与核医学] R543.6[医药卫生—诊断学]