腹部超声对肝硬化腹水患者门静脉管径大小及血流变化、胆囊形态结构及功能的临床研究  

Clinical Study of Abdominal Ultrasound on Portal Vein Diameter and Blood Flow Changes,Gallbladder Morphology and Function in Patients with Cirrhotic Ascites

作　　者：林华 LIN Hua(Color Ultrasound Room of the Fifth People's Hospital of Guangxin District,Shangrao 334100,Jiangxi,China)

机构地区：[1]上饶市广信区第五人民医院彩超室,江西上饶334100

出　　处：《医学信息》2022年第20期93-95,共3页Journal of Medical Information

摘　　要：目的探讨腹部超声对肝硬化腹水患者门静脉管径大小及血流变化、胆囊形态结构及功能的变化。方法选取2019年3月-2021年3月本院收治的肝硬化腹水患者60例为试验组,取同期在本院进行健康体检者60例为对照组。比较两组门静脉主干内径、脾静脉内径及血流变化情况、胆囊形态结构、肝功能指标。结果试验组门静脉内径大于对照组,差异有统计学意义(P<0.05);试验组脾脏厚度、血流速峰值及平均流速小于对照组,差异有统计学意义(P<0.05);试验组胆囊厚度值高于对照组,差异有统计学意义(P<0.05),但两组胆囊体积比较,差异无统计学意义(P>0.05);试验组AST、ALT及TBil水平高于对照组,Alb水平低于对照组,差异有统计学意义(P<0.05)。结论腹部超声可以有效反映肝硬化腹水患者肝脏的形态大小变化、胆囊形态变化以及血流动力学情况,对肝硬化的情况和门静脉高压具有较高的诊断价值。Objective To investigate the changes of portal vein diameter,blood flow,gallbladder structure and function in cirrhotic patients with ascites by abdominal ultrasonography.Methods Sixty patients with cirrhotic ascites admitted to our hospital from March 2019 to March 2021 were selected as the experimental group,and 60 patients who underwent physical examination in our hospital during the same period were selected as the control group.The main portal vein diameter,splenic vein diameter and blood flow changes,gallbladder morphology,liver function index were compared between the two groups.Results The portal vein diameter of the experimental group was larger than that of the control group,and the difference was statistically significant(P<0.05).The spleen thickness,peak blood flow velocity and mean blood flow velocity in the experimental group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The gallbladder thickness of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05),but there was no significant difference in gallbladder volume between the two groups(P>0.05).The levels of AST,ALT and TBil in the experimental group were higher than those in the control group,and the level of Alb was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Abdominal ultrasound can effectively reflect the changes of liver size,gallbladder shape and hemodynamics in patients with liver cirrhosis and ascites,and has high diagnostic value for liver cirrhosis and portal hypertension.

关 键 词：肝硬化腹水 腹部超声 门静脉 肝功能 

分 类 号：R575.2[医药卫生—消化系统]