彩色多普勒超声在诊断肝硬化中的临床价值  

The clinical value of color Doppler ultrasound in diagnosis of liver cirrhosis

作　　者：张恒[1] 周世崇[2] 李建华[1] 

机构地区：[1]泰州市第四人民医院超声科,江苏泰州225300 [2]复旦大学附属肿瘤医院超声科复旦大学上海医学院肿瘤学系,上海200032

出　　处：《肿瘤影像学》2015年第4期292-294,共3页Oncoradiology

摘　　要：目的:探讨彩色多普勒超声在诊断肝硬化中的临床价值。方法:选取于2009年1月—2014年2月来泰州市第四人民医院诊断的肝硬化患者35例作为观察组,选择同期诊断的35例健康人作为对照组。观察比较两组患者的门静脉管径、血流情况,同时观察肝硬化患者的肝脏轮廓、肝实质光点、脾脏大小及有无腹腔积液。结果:观察组的血流流速峰值、平均速度及门静脉管径分别为(12.35±2.31)cm/s、(10.24±2.13)cm/s、(1.65±0.53)cm,对照组分别为(18.97±4.35)cm/s、(17.45±4.78)cm/s、(1.02±0.25)cm,差异均有统计学意义(P<0.05)。多数肝硬化患者出现肝脏轮廓锯齿状变化、肝实质光点增粗、脾大、腹腔积液、胆囊壁增厚等症状。结论:彩色多普勒超声诊断肝硬化,可清晰显示肝脏血流动力学变化及门静脉管径,为临床诊断和治疗提供有效依据。Objective： To investigate the value of color Doppler ultrasound in diagnosis of liver cirrhosis. Methods： A total of 35 cases with liver cirrhosis in Taizhou Fourth People＇s Hospital selected from January 2009 to February 2014 were enrolled in the observation group. At the same time, another 35 cases without liver cirrhosis were set as controls. The portal vein diameter and blood flow were recorded and compared between the two groups. The liver contour, liver parenchyma echo spot, spleen size, and ascites in the observation group were analyzed. Results： The peak systolic velocity, average velocity and portal vein diameter were（12.35±2.31） cm/s,（10.24±2.13） cm/s,（1.65±0.53） cm in the observation group respectively, and（18.97±4.35） cm/s,（17.45±4.78） cm/s,（1.02±0.25） cm in the control group respectively. The differences were statistically significant（P〈0.05）. Serrated changes of liver contour, enlargement of liver parenchyma echo spots, splenomegaly, ascites, and gallbladder wall thickening appeared in most cases with liver cirrhosis. Conclusion： Color Doppler ultrasound can clearly show the changes of hemodynamics of liver and portal vein diameter, providing effective data for the clinical diagnosis and treatment of liver cirrhosis.

关 键 词：肝硬化 彩色多普勒超声 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学]