肝硬化门静脉高压患者脾动脉盗血的临床价值  

Clinical significance of splenic artery steal syndrome in patients with cirrhotic portal hypertention

作　　者：赵开飞[1] 朱琎[1] 利峰[1] 敖劲[1] 蒋国军[1] 石荣书[1] 

机构地区：[1]遵义医学院附属医院介入科,贵州省遵义市563003

出　　处：《世界华人消化杂志》2015年第14期2290-2294,共5页World Chinese Journal of Digestology

摘　　要：目的:探讨肝硬化门静脉高压与肝动脉、脾动脉血流动力学关系,为肝硬化门静脉高压患者的诊断及治疗提供依据.方法:利用彩色多普勒超声检测46例肝硬化门静脉高压患者与88例健康对照组肝动脉、脾动脉、脾静脉及门静脉血流动力学变化.结果:门静脉高压组脾动脉、脾静脉及门静脉血流指标均高于对照组(P<0.05),肝动脉血流量较对照组减少,差异有统计学意义(P<0.05).结论:肝硬化门静脉高压患者脾动脉明显增粗、迂曲,脾动脉血流量增加,而肝动脉细小,血流量减少,肝硬化门静脉高压患者脾动脉盗血现象普遍存在.AIM： To investigate the relation of cirrhosis portal hypertension with hepatic and splenic arterial hemodynamics to provide a basis for the diagnosis and treatment of cirrhotic portal hypertension.METHODS： Color Doppler ultrasound（CDU）was utilized to detect hemodynamic changes in the hepatic artery, splenic artery, splenic vein and portal vein in 46 patients with cirrhotic portal hypertension and 88 healthy controls.RESULTS： Hemodynamic indexes in the splenic artery, spleen vein and portal vein were significantly higher and those in the hepatic artery were significantly lower in the portal hypertension group than in the control group（P〈0.05）.CONCLUSION： There are obvious enlargement and tortuosity of the splenic artery in patients with cirrhotic portal hypertension, and as a result, splenic arterial blood flow increases,and hepatic arterial blood flow decreases.

关 键 词：肝硬化 门静脉高压 彩色多普勒超声 血流动力学 脾动脉 肝动脉 

分 类 号：R575.2[医药卫生—消化系统]