彩色多普勒超声测量肝硬化患者门静脉和脾静脉血流动力学的临床价值。
The clinical value of color Doppler ultrasonography in measuring the hemodynamics of liver cirrhosis patients' portal and splenic veins.
作者信息
Hui Ran, Li Zhe, Liu Zongjie, Liu Xiuping, Deng Heping
机构信息
Department of Ultrasound Medicine, The Third Hospital of Hebei Medical University Shijiazhuang 050051, Hebei Province, China.
Department of Obstetrics and Gynecology, The Third Hospital of Hebei Medical University Shijiazhuang 050051, Hebei Province, China.
出版信息
Am J Transl Res. 2021 Mar 15;13(3):1692-1700. eCollection 2021.
OBJECTIVE
To investigate the clinical value of color Doppler ultrasonography (CDUS) in measuring the hemodynamics of liver cirrhosis (LC) patients' portal and splenic veins.
METHODS
The clinical data of 81 LC patients admitted to our hospital were collected retrospectively and classified into Group A, and the clinical data from 51 healthy volunteers were classified into Group B. All the patients were examined with CDUS, and the ultrasonography images were analyzed. The hemodynamic indices of the portal and splenic veins were compared, and the differences in the hemodynamic indices of the LC patients with varying degrees of esophageal varices and hepatic injuries were analyzed.
RESULTS
Group A exhibited higher Q, D, Q, and D and lower V and V than Group B ( < 0.05). The Q and D of the patients with Grade B LC were higher than they were in the patients with Grade A LC and lower than they were in the patients with Grade C LC ( < 0.05). The V of the patients with Grade B LC was higher than it was in the patients with Grade C LC and lower than it was in the patients with Grade A LC ( < 0.05). The Q and D of the patients with Grade B LC were higher than they were in the patients with Grade A LC and lower than they were in the patients with Grade C LC ( < 0.05). The V of the patients with Grade B LC was higher than it was in the patients with Grade C LC and lower than it was in the patients with Grade A LC ( < 0.05). The patients with mild, moderate, and severe esophageal varices showed lower V and V and higher Q, D, Q, and D than the patients without esophageal varices ( < 0.05).
CONCLUSION
CDUS has certain clinical values in measuring the hemodynamics of LC patients' portal and splenic veins and can be used to predict the degrees of hepatic injuries and esophageal varices.
目的
探讨彩色多普勒超声（CDUS）测量肝硬化（LC）患者门静脉和脾静脉血流动力学的临床价值。
方法
回顾性收集我院收治的81例LC患者的临床资料并分为A组，将51例健康志愿者的临床资料分为B组。所有患者均行CDUS检查并分析超声图像。比较门静脉和脾静脉的血流动力学指标，分析不同程度食管静脉曲张和肝损伤的LC患者血流动力学指标的差异。
结果
A组的Q、D、Q和D高于B组，V和V低于B组（<0.05）。B级LC患者的Q和D高于A级LC患者，低于C级LC患者（<0.05）。B级LC患者的V高于C级LC患者，低于A级LC患者（<0.05）。B级LC患者的Q和D高于A级LC患者，低于C级LC患者（<0.05）。B级LC患者的V高于C级LC患者，低于A级LC患者（<0.05）。轻度、中度和重度食管静脉曲张患者的V和V低于无食管静脉曲张患者，Q、D、Q和D高于无食管静脉曲张患者（<0.05）。
结论
CDUS在测量LC患者门静脉和脾静脉血流动力学方面具有一定的临床价值，可用于预测肝损伤程度和食管静脉曲张程度。
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