超声与核素显像诊断门静脉高压症35例  

Ultrasonics and radionuclide imaging in diagnosis of portal hypertension

作　　者：宋伟[1] 周建国[1] 岳玉[1] 王汉清[1] 赵春淮[1] 鲍子雨[1] 

机构地区：[1]蚌埠市第一人民医院

出　　处：《蚌埠医学院学报》1997年第4期268-269,共2页Journal of Bengbu Medical College

摘　　要：目的：了解门静脉高压症的检测方法。方法：对３５例肝硬化患者及１２例正常人用彩色多普勒测量门静脉直径及最大血流量，同时用９９ｍＴｃＭＩＢＩ经直肠注入行门静脉压测定，并将肝硬化７例，健康人４例于手术中测门静脉压力，以上３种方法进行比较。结果：肝硬化患者门静脉主干虽有增宽，血流也可减慢，与手术中测定的门静脉压力并不呈直线相关，而９９ｍＴｃＭＩＢＩ经直肠注入，以心／肝比值反映门静脉压力，与术中测压值呈显著正相关（ｒ＝０．９１８７，Ｐ＜０．０１）。结论：彩色多普勒与核素显像二者结合有助于对门脉循环分流的状况进行全面评价。Objective:To diagnose portal hypertension with ultrasonics to nadio nuclide imaging.Methods:35 cases of hepatocirrhosis and 12 normal cases were tested with Doppler,for the portal vein's diameter and maximun,blood flow,and portal pressures were measured with 99 m Tc MIBI perrectum.And hepatocirrhotics and 4 healthy uidurdnals were measured for their portal pressure during operations.Results:In hepatocirrhosis widening of the portal venous stem and the slowing down of blood flow was observed.The changes were not rectilinearly related to portal pressure obtacined in operations.Wheseas the portal pressure,reflecting from heart/liver ratio,measured with 99 m Tc MIBI per rectum is in positive relation to the pressure measured in operations.Conclusions:Colour Duppler flow imaging combined with redionuclide imaging is helpful to evaluat the shunling of the portal circulation in all aspect.

关 键 词：放射性核素 门静脉高压 超声波诊断 

分 类 号：R657.340.4[医药卫生—外科学]