彩超检测血流动力学指标对肝细胞癌合并门静脉高压患者术后复发的影响  

The clinical evaluation value of color Doppler ultrasound in detecting hemodynamics for postoperative recurrence in patients with hepatocellular carcinoma complicated with portal hypertension

作　　者：毛慧 MAO Hui(Department of Ultrasonography,People's Hospital of Sishui County,Jining,Shandong 273200,China)

机构地区：[1]泗水县人民医院超声科,山东济宁273200

出　　处：《影像研究与医学应用》2024年第15期43-45,共3页Journal of Imaging Research and Medical Applications

摘　　要：目的:研究彩超检测血流动力学指标对肝细胞癌合并门静脉高压患者术后复发的影响。方法:选取2020年1月—2022年10月在泗水县人民医院诊断为肝细胞癌(HCC)合并门脉高压患者98例作为研究对象,根据是否复发分为复发组50例、未复发组48例,两组患者均给予采用SSA-270A彩色多普勒超声检测,对比两组患者的彩超检测血流动力学指标。单因素及多因素分析血流动力学指标对合并门脉高压HCC患者复发的影响。结果:复发组肝动脉、门静脉血流量、肝动脉、门静脉血流速度,肝动脉血流量/门静脉流量水平均高于未复发组,差异有统计学意义(P<0.05)。肝动脉血流量/门静脉流量、肝动脉血流量、肝动脉血流速度、门静脉血流量、门静脉血流速度均是HCC合并门静脉高压患者术后复发的独立危险因素(OR=1.326、5.034、13.599、6.354、19.338,P<0.05)。结论:彩超检测血流动力学指标是HCC合并门静脉高压患者术后复发的独立危险因素,因而血流动力学指标应该作为术后随诊的重要指标,便于及早发现患者复发及转移情况。Objective To study the effect of hemodynamic indicators detected by color Doppler ultrasound on postoperative recurrence in patients with hepatocellular carcinoma complicated with portal hypertension.Methods 98 patients diagnosed with hepatocellular carcinoma(HCC)and portal hypertension at People's Hospital of Sishui County from January 2020 to October 2022 were selected as the study subjects.They were divided into a recurrence group of 50 cases and a non recurrence group of 48 cases based on whether they recurred.Both groups of patients were detected using SSA-270A color Doppler ultrasound,and the hemodynamic indicators of the two groups of patients were compared.The impact of hemodynamic indicators on the recurrence of HCC patients with concomitant portal hypertension through single factor and multiple factor analysis.Results The recurrent group had higher levels of hepatic artery and portal vein blood flow,hepatic artery and portal vein blood flow velocity,and hepatic artery blood flow/portal vein flow compared to the non recurrent group,with statistically significant differences(P<0.05).Hepatic artery blood flow/portal vein flow,hepatic artery blood flow,hepatic artery blood flow velocity,portal vein blood flow velocity,and portal vein blood flow velocity were all independent risk factors for postoperative recurrence in HCC patients with portal hypertension(OR=1.326,5.034,13.599,6.354,19.338,P<0.05).Conclusion Ultrasound detection of hemodynamic indicators is an independent risk factor for postoperative recurrence in HCC patients with portal hypertension.Therefore,hemodynamic indicators should be an important indicator for postoperative follow-up,facilitating early detection of patient recurrence and metastasis.

关 键 词：彩超 血流动力学 肝细胞癌 门静脉高压 术后复发 

分 类 号：R445.1[医药卫生—影像医学与核医学]