彩色多普勒超声显像预测肝硬化食管静脉曲张出血的价值  

The value of the doppler ultrasonographic prediction for esophageal bleeding in patients with liver cirrrhosis

作　　者：王天才[1] 乐桂容[2] 梁扩寰[1] 

机构地区：[1]华中科技大学同济医学院同济医院肝病研究所,湖北武汉430030 [2]华中科技大学同济医学院同济医院超声诊断科,湖北武汉430030

出　　处：《临床肝胆病杂志》2002年第2期120-121,共2页Journal of Clinical Hepatology

摘　　要：探讨彩色多普勒超声（ＣＤＦＩ）测定的门脉系统血流动力学与肝硬化食管静脉曲张出血的关系。采用ＣＤＦＩ对１０４例肝硬化患者和３４例正常对照者进行了门脉系统血流动力学的对比研究；所有患者均作电子胃镜检查。①肝硬化患者与正常对照组门脉系统血管内径（Ｄｐｖ、Ｄｓｖ）和血流速度（Ｖｐｖ、Ｖｓｖ）有显著性差异（Ｐ＜０．０１），且血流速度测定对估价肝功能损害较血管内径为优；②３６例有脐静脉开放患者门静脉系统血管内径在出血组和非出血组间差异有显著性意义（Ｐ＜０．０１）；③门静脉血流速度不仅与食管静脉曲张程度，亦与食管静脉曲张出血与否有密切关系。门脉系统血管内径和血流速度测定可作为预测食管静脉曲张破裂出血危险性的安全有效的方法。To determine whether the Doppler ultrasonographic findings of portalsystemic blood flow hemodynamics in pa- tients with liver cirrhosis associated with variceal bleeding, CDFI was used for comparison study of the blood now hemody- namics in 104 patients with liver cirrhosis classified to child A, B, C and 34 normal control. All patients were picked out with electron endosPopy. The results showed that: ①the vessle diameter(Dpv .Dsv) and the blood flow velocity(Vpv . Vsv) in patients with cirrhosis child A, B, C were found Significant difference(P < 0. 01); ③ The measurement of portal vein blood flow velocity in 36 patients opened of venae umbicales caused by liver cirrhosis were correlated not only to the degree of esophageal varices also to variceal bleeding. The results suggest that ultrasonographic measurement of portalsystemic vessel diameter and blood flow velocity can be one of the efficient and safe methods for predicting the hemorrhage from esophageal varices in patients with liver cirrhosis.

关 键 词：肝硬化 食管静脉曲张 出血 彩超 

分 类 号：R575.2[医药卫生—消化系统] R571.3[医药卫生—内科学]