无创性预测肝硬化食管静脉曲张破裂出血的临床探究  

Clinical study on non invasive prediction of esophageal varices bleeding in patients with cirrhosis

作　　者：薛振龙 奚美娟[1] 魏巍[1] 周晓峰[1] 陶剑[1] Xue Zhenlong;Xi Meijuan;Wei Wei;Zhou Xiaofeng;Tao Jian(Traditional Chinese Medicine Hospital of Changshou City,Jiangsu Province 215500)

机构地区：[1]江苏省常熟市中医院,215500

出　　处：《中国社区医师》2016年第28期7-8,共2页Chinese Community Doctors

基　　金：江苏常熟市科技局资助项目;项目编号:CS201315~~

摘　　要：目的:探讨彩色多普勒超声测定肝硬化门静脉血流参数与门脉高压致食管静脉曲张破裂出血的关系。方法:收治门脉高压患者62例及正常对照组30例,应用彩色多普勒超声分别测定出血组与未出血组肝硬化患者门静脉及胃左静脉的血管腔内径、流速、流量。结果:与正常对照组比较,肝硬化患者PV、LGV血流学参数差异均有统计学意义(P<0.01),出血组中胃左静脉血液方向为离肝者较未出血组明显增多。结论:彩色多普勒超声测定PV、LGV血流参数对临床预测食管静脉曲张破裂出血可提供有价值的临床参考数据。Objective:To explore the relationship between color doppler ultrasound determination of cirrhosis and esophagusvaricotomy rupture and bleeding caused by portal hypertension.Methods:62 patients with portal hypertension were selected as thecase group,and 30 healthy people as the control group,then we measured the differences in internal diameter,speed and flow rateof portal vein and left gastric vein in patients with cirrhosis between the bleeding group and the non bleeding group,by using colordoppler ultrasound.Results:Compared with the normal control group,the blood flow parameters of PV and LGV were significantlydifferent(P<0.01).The blood direction of left gastric vein in the hemorrhage group was significantly increased when comparedwith the normal control group.Conclusion:Blood flow parameters of PV and LGV measured by color doppler ultrasonography canprovide valuable reference data for clinical prediction of esophageal varices 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：R575.2[医药卫生—消化系统]