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[肝源性门静脉高压症。彩色及回声多普勒超声的定性评估]

[Portal hypertension of hepatic origin. A qualitative assessment by color and echo Doppler US].

作者信息

Calliada F, Bergonzi M, Passamonti C, Campani R, Bottinelli O, Bozzini A, Beluffi G, Corsi G, Raimondi G B, Pollini F

机构信息

Servizio di Radiologia, Ospedale Maggiore, Lodi.

出版信息

Radiol Med. 1990 Apr;79(4):339-45.

PMID:2198623
Abstract

One hundred and twenty-eight subjects were studied: 103 of them were affected with portal hypertension diagnosed both radiologically and clinically. Twenty-five healthy subjects were studied, as a control group, by means of combined real-time US and color Doppler. US parameters were evaluated, specific to chronic hepatopathy, together with the Doppler qualitative parameters relative to splanchnic vessels hemodynamics. Our results allowed a sort of noninvasive angiogram of the portal system to be obtained, which is to be of use for diagnosing portal hypertension, and for assessing its causes, risks, and consequences. This study was also aimed at suggesting an examination protocol for portal hypertension, employing real-time and color Doppler US, which any radiologist with enough experience in abdominal US could use. Color Doppler, although not strictly necessary to obtain good results, dramatically shortens execution times. Moreover, color Doppler allows the method to be more quickly learned.

摘要

对128名受试者进行了研究:其中103名经放射学和临床诊断患有门静脉高压症。作为对照组,对25名健康受试者采用实时超声和彩色多普勒联合检查。评估了特定于慢性肝病的超声参数,以及与内脏血管血流动力学相关的多普勒定性参数。我们的结果能够获得一种门静脉系统的无创血管造影,可用于诊断门静脉高压症,并评估其病因、风险和后果。本研究还旨在提出一种采用实时和彩色多普勒超声的门静脉高压症检查方案,任何在腹部超声方面有足够经验的放射科医生都可以使用。彩色多普勒虽然对于获得良好结果并非严格必需,但能显著缩短检查时间。此外,彩色多普勒使该方法更容易快速掌握。

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Radiol Med. 1990 Apr;79(4):339-45.
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