腹部超声对原发性肝癌患者门静脉高压及门静脉癌栓的诊断价值  

Diagnostic value of abdominal ultrasound in the diagnosis of portal hypertension and portal vein tumor thrombus in patients with primary hepatic carcinoma

作　　者：刘文静 迟男男[2] LIU Wen-jing;CHI Nan-nan(Department of Color Ultrasound Room,Qiqihar Hospital of Traditional Chinese Medicine,Qiqihar 161000;Department of Gastroenterology II,the First Affiliated Hospital of Jiamusi University,Jiamusi 154000,Heilongjiang,China)

机构地区：[1]齐齐哈尔市中医医院彩超室,黑龙江齐齐哈尔161000 [2]佳木斯大学附属第一医院消化二科,黑龙江佳木斯154000

出　　处：《川北医学院学报》2024年第8期1068-1071,共4页Journal of North Sichuan Medical College

基　　金：黑龙江省教育科学规划重点项目(1868)。

摘　　要：目的:探讨腹部超声对原发性肝癌患者门静脉高压及门静脉癌栓的诊断价值。方法:选取118例原发性肝癌患者为研究对象,均行腹部超声检查,根据是否存在门静脉高压分为门静脉高压组(n=80)和无门静脉高压组(n=38)。比较两组患者门静脉内径(Dpv)、脾静脉内径(Dsv)、门静脉血流速度(Vpv)和脾静脉血流速度(Vsv),分析门静脉高压组患者Dpv和Dsv与食管胃底静脉曲张程度的相关性;根据是否存在门静脉癌栓分为门静脉癌栓组(n=43)和无门静脉癌栓组(n=75),比较两组患者肝动脉主干直径和肝动脉血流速度。结果:门静脉高压组患者Dpv和Dsv大于无门静脉高压组(P<0.05);Vpv和Vsv小于无门静脉高压组(P<0.05);Dpv和Dsv与食管胃底静脉曲张程度正相关(P<0.05)。门静脉癌栓组患者肝动脉主干直径大于无门静脉癌栓组(P<0.05),肝动脉血流速度高于无门静脉癌栓组(P<0.05)。结论:腹部超声能够鉴别原发性肝癌患者是否合并有门静脉高压及门静脉癌栓,且临床诊断价值较高,有利于指导临床治疗。Objective:To explore the diagnostic value of abdominal ultrasound in the diagnosis of portal hypertension and portal vein tumor thrombus in patients with primary hepatic carcinoma.Methods:118 patients with primary hepatic carcinoma were secleted as the research subjects.All patients underwent abdominal ultrasound examination,and they were divide into portal hypertension group(n=80)and non portal hypertension group(n=38)based on the presence of portal hypertension.The portal vein diameter(Dpv),splenic vein diameter(Dsv),portal vein flow velocity(Vpv)and splenic vein flow velocity(Vsv)were compared between the two groups,the correlation between Dpv and Dsv with the degree of esophageal and gastric varicose veins in patients with portal hypertension was analyzed.According to the presence of portal vein thrombosis,the patients were divided into two groups:the portal vein tumor thrombus group(n=43)and the non portal vein tumor thrombus group(n=75),the diameter of the main hepatic artery and the blood flow velocity of the hepatic artery were compared between two groups.Results:The Dpv and Dsv of the portal hypertension group were larger than those of the non-portal hypertension group(P<0.05),the Vpv and Vsv were lower than those in the non-portal hypertension group(P<0.05).Dpv and Dsv were positively correlated with the degree of esophageal and gastric varicose veins(P<0.05).The diameter of main hepatic artery in the portal vein tumor thrombus group was larger than that in the non-portal vein tumor thrombus group(P<0.05),and blood flow velocity was higher than that in the non-portal vein tumor thrombus group(P<0.05).Conclusion:Abdominal ultrasound can help to diagnose portal hypertension and portal vein tumor thrombus in patients with primary hepatic carcinoma.It has high value in clinical diagnosis and has guiding significance for clinical treatment.

关 键 词：原发性肝癌 门静脉高压 门静脉癌栓 腹部超声 

分 类 号：R575[医药卫生—消化系统]