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[放射性核素及超声检查在肝硬化门静脉高压症中的应用]

[Radionuclide and ultrasound studies in liver cirrhosis with portal hypertension].

作者信息

Khodzhibekov M Kh, Rikhsieva L E, Nazyrov F G

出版信息

Med Radiol (Mosk). 1988 Aug;33(8):42-7.

PMID:3045472
Abstract

Combined radionuclide and ultrasonic investigations (USI) were performed in 95 patients with liver cirrhosis complicated by portal hypertension. Liver and splenic shape structure and the presence of fluid in the abdominal cavity were assessed in USI. Radionuclide methods of investigation were used for determination of the hepatic blood flow, assessment of the shape, size and structure of RP distribution in the liver and spleen, and for calculation of the hepatosplenic index. The most significant signs of differentiation of stages of portal hypertension were the presence and amount of fluid in the abdominal cavity and a hepatic blood flow value reflecting the gravity of protal hypertension. Combined radionuclide and ultrasonic investigations permitted a differentiated approach to staging of portal hypertension and assessment of liver and splenic morphofunctional state that could play an important role in the choice of tactics of surgery of liver cirrhosis.

摘要

对95例肝硬化合并门静脉高压患者进行了放射性核素与超声联合检查(USI)。在USI中评估肝脏和脾脏的形状结构以及腹腔内液体的存在情况。放射性核素检查方法用于测定肝血流、评估肝脏和脾脏中放射性核素分布的形状、大小和结构,以及计算肝脾指数。门静脉高压分期最显著的鉴别标志是腹腔内液体的存在和量以及反映门静脉高压严重程度的肝血流值。放射性核素与超声联合检查允许对门静脉高压进行分期以及评估肝脏和脾脏的形态功能状态,这在肝硬化手术策略的选择中可能发挥重要作用。

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