高级动态血流成像技术与彩色多普勒成像技术对经颈静脉肝内门体分流术后支架通畅性的评估价值比较  

Value of advanced dynamic flow versus color Doppler flow imaging in evaluating stent patency after transjugular intrahepatic portosystemic shunt

作　　者：郭丹丹 唐少珊[1] GUO Dandan;TANG Shaoshan(Department of Ultrasound,Shengjing Hospital of China Medical University,Shenyang 110004,China)

机构地区：[1]中国医科大学附属盛京医院超声科,沈阳110004

出　　处：《临床肝胆病杂志》2018年第12期2599-2602,共4页Journal of Clinical Hepatology

摘　　要：目的对比分析高级动态血流成像技术(ADF)与彩色多普勒成像技术(CDFI)对经颈静脉肝内门体分流术(TIPS)术后患者支架通畅性的评估价值。方法选取2016年9月-2018年5月于中国医科大学附属盛京医院接受超声ADF与CDFI两种技术以及超声造影(CEUS)检查的60例TIPS术后患者,根据ADF、CDFI和CEUS显示结果对TIPS支架血流通畅性进行分级,其中以CEUS结果为金标准,用Kappa检验分别对ADF与CEUS结果、CDFI与CEUS结果进行一致性检验,并用Z检验对Kappa值进行假设检验。结果 ADF对TIPS术后患者支架通畅性的分级结果与CEUS的一致性程度为极强(Kappa=0. 902,P <0. 05),CDFI对TIPS术后患者支架通畅性的分级结果与CEUS的一致性程度为中度(Kappa=0. 423,P <0. 05),经Z检验,P <0. 05,差异有统计学意义。结论相较于CDFI,ADF对评价TIPS术后支架通畅性的价值更高,具有一定的临床意义。Objective To investigate the value of advanced dynamic flow(ADF)versus color Doppler flow imaging(CDFI)in evaluating stent patency after transjugular intrahepatic portosystemic shunt(TIPS).Methods A total of 60 post-TIPS patients who underwent ADF,CDFI,and contrast-enhanced ultrasound(CEUS)in Shengjing Hospital of China Medical University from September 2016 to May 2018 were enrolled.The grade of the patency of TIPS stent was evaluated according to the results of ADF,CDFI,and CEUS.With the results of CEUS as the gold standard,the Kappa test was used to examine the consistency between ADF and CEUS results,as well as between CDFI and CEUS results,the Z test was used as the hypothesis testing of kappa value.Results There was extremely strong consistency between ADF and CEUS in evaluating stent patency after TIPS(Kappa=0.902,P<0.05),while there was moderate consistency between CDFI and CEUS in evaluating stent patency after TIPS(Kappa=0.423,P<0.05).The Z test found that the difference was statistically significant(P<0.05).Conclusion Compared with CDFI,ADF has a higher value in evaluating stent patency after TIPS and has certain clinical significance.

关 键 词：肝硬化 门体分流术 经颈静脉肝内 超声检查 支架 

分 类 号：R575.2[医药卫生—消化系统]