多普勒超声在预测肝硬化食道静脉曲张破裂出血中的初步探讨  

Study of Using Doppler Ultrasound in Predicting Esophageal Variceal Bleeding in Cirrhosis Patients

作　　者：奚美娟[1] 魏巍[1] 周晓峰[2] 陶剑[1] 

机构地区：[1]江苏省常熟市中医院消化内科,江苏常熟215500 [2]江苏省常熟市中医院超声科,江苏常熟215500

出　　处：《中国血液流变学杂志》2015年第4期439-441,共3页Chinese Journal of Hemorheology

基　　金：江苏省常熟市科技局资助项目（CS201315）

摘　　要：目的：探讨彩色多普勒超声预测肝硬化食道静脉曲张破裂出血的临床价值。方法59例肝硬化患者分为二组，出血组与非出血组，另设正常对照组30名，应用彩色多普勒分别测定三组的门静脉（PV）及胃左静脉（LGV）的血流参数，并进行统计学分析。结果与正常对照组比较，肝硬化患者PV、LGV血管腔内径差异均有统计学意义（P﹤0.01），出血组中LGV血液方向为离肝者较非出血组明显增多。结论多普勒超声测定PV、LGV血流参数对临床预测食管静脉曲张破裂出血有较高的应用价值。ObjectiveTo observe the value of using Doppler ultrasound in predicting esophageal variceal bleeding in cirrhosis patients.Methods Date of 59 patients with liver cirrhosis were classiifed as bleeding group and nonbleeding group, another 30 healthy people were enrolled as a control group. Hemodynamics of portal vein and left gastric vein were assessed using Doppler ultrasound. Results In cirrhosis the diameters of portal vein and left gastric vein were signiifcantly higher compared with control group （P﹤0.01）. In patients with bleeding, the hepatofugal flow of the left gastric vein was signiifcantly increased. ConclusionDoppler ultrasound measurement of blood flow parameter of left gastric vein and portal vein has practical value in prognosing esophageal variceal bleeding.

关 键 词：彩色多普勒超声 胃左静脉 门静脉 食管静脉破裂出血 

分 类 号：R445.1[医药卫生—影像医学与核医学]