Caroli'S病“门静脉周围纤维化型”的双功能超声诊断  

Duplex Doppler Sonography for Caroli's Diseases "Periportal Fibrosis Type"

作　　者：张大文[1] 谷继忠 牟弦琴[1] 王春福[2] 田晖[2] 王风梅[2] 

机构地区：[1]河北医学院第二附属医院外科,050000 [2]河北医学院第二附属医院介入B超室

出　　处：《中国现代医学杂志》1993年第4期3-4,2+79,共4页China Journal of Modern Medicine

摘　　要：本文总结应用双功能超声诊断“CaroliS病”门脉周围纤维化型”6例,经PTC手术和术中胆道造影及病理证实,男性多见。声像图:除肝内胆管囊状扩张,伴先天性肝纤维化、肝硬化及门脉高压,曾分患者肾小管扩张或呈海绵肾,肝外胆管1/3轻度扩张。脉冲多普勒超声观测脾切除加断流术后,脾血流阻断,门脉血流量相应减少,管径缩小,说明脾静脉与门静脉血流量呈正相关性,二者共同反映门脉系统的血液动力学变化。In this article, 6 cases of Caroli's disease 'periportal fibrosis type'were diagnosed by Duplex Doppler Sonography in our hospital. All of patients were confirmed by P. T. C. operation, redographical operating and pathological study. The results show that the male greater than females. The part of patients complicated dilation of renal tunal of sponge kidney. Exept some(patients) presented congenital cystic dilatation of the intrehepatic bile ducts, congenital hepatic fibrosis, cirrbosis and portal hypertension. About 1/3 patients complicated mild dilation of extrahepatic bile ducts. The change bemodynamic of portal system was observated by Duplex Doppler sonography affter and preoperation. Hyper Volemia was reducted, due to blood flow of splen were cut—off. The blood flow of portal systen were relerantly reducted too, and vasoconsrticted. This study confirms that between the blood flow rate of splen and portal system were correlative. It is reacted change hemodynamic of portal system.

关 键 词：双功能超声 CAROLIS病 门静脉周围纤维化型 先天性肝纤维硬化 门脉高压 

分 类 号：R[医药卫生]