彩色多普勒超声在门静脉海绵样变性中的诊断价值  

Color doppler ultrasonography in the diagnosis of cavernous transformation of portal vein

作　　者：张卫兵[1] 邓文芳[2] 陈建[1] 陶晓燕[1] 

机构地区：[1]武警江苏省总队医院B超中心,扬州225003 [2]苏北人民医院外科

出　　处：《临床医学》2009年第4期18-19,共2页Clinical Medicine

摘　　要：目的探讨彩色多普勒超声(CDFI)在门静脉海绵样变性诊断中的临床应用价值。方法回顾性分析2004年1月至2008年6月39例彩色多普勒超声诊断为门静脉海绵样变性患者的声像图特征,并与手术、CT、血管造影对照。结果彩色多普勒超声诊断符合率100%(39/39)。声像图特征:肝门部正常门脉、胆管结构消失,出现"蜂窝状"无回声区,CDFI显示无回声区内出现红、蓝相间彩色血流信号,脉冲多普勒(PW)示门静脉频谱。结论彩色多普勒超声在门静脉海绵样变性诊断中具有重要的临床应用价值。Objective To investigate the value of color doppler ultrasonography in the diagnosis of cavernous transformation of portal vein（CTPV）. Methods The imaging characteristics of 39 cases were analyzed retrospectively, which were diagnosed as CTPV by color doppler ultrasonography. The operation, CT or angiography were compared with ultrasound diagnosis. Results The accuracy rate of ultrasonographic examination was 100% （39/39）. The portal vein and bile duct in porta hepatis disappeared and showed echoless in honeycomb appearance. The songrams showed blue - red blood imaging communicated with each other in CDFI. The blood flows in porta hepatis was in low flow spectra in PW. Conclusion Color doppler ultrasonography plays an important clinical application role in the diagnosis of CTPV.

关 键 词：门静脉海绵样变性 彩色多普勒超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575[医药卫生—诊断学]