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[肝硬化患者肝静脉血流的改变。肝硬化患者肝静脉的多普勒研究]

[Changed hepatic vein flow in patients with cirrhosis. A Doppler study of hepatic veins in patients with cirrhosis].

作者信息

Parra Blanco J A, Juanco Pedregal C, Silvan Delgado M

机构信息

Servicio de Radiodiagnóstico, Hospital Universitario Marqués de Valdecilla, Santander.

出版信息

Rev Esp Enferm Dig. 1995 Sep;87(9):621-3.

PMID:7577119
Abstract

OBJECTIVE

To evaluate the changes in the Doppler waveform of the hepatic veins in patients with cirrhosis.

DESIGN

We analyzed prospectively with Doppler ultrasound the flow of the hepatic veins and we compared the different Doppler waveform patterns with the degree of liver failure according to the Child-Pugh score.

PATIENTS

Forty three patients with cirrhosis and 60 normal individuals with similar age and sex.

RESULTS

Abnormal hepatic vein waveforms were found in 40 of 43 patients with cirrhosis and in none of the 50 controls subjects. No statistically significant differences were detected between the different Doppler waveform patterns and the Child-Pugh score (p = 0.063).

CONCLUSIONS

Our findings indicate that an alteration of the Doppler waveform pattern of hepatic veins suggest the presence of cirrhosis and that there is no association between the degree of the liver failure and the waveform patterns.

摘要

目的

评估肝硬化患者肝静脉多普勒波形的变化。

设计

我们采用多普勒超声对肝静脉血流进行前瞻性分析,并根据Child-Pugh评分将不同的多普勒波形模式与肝衰竭程度进行比较。

患者

43例肝硬化患者和60例年龄及性别相似的正常个体。

结果

43例肝硬化患者中有40例肝静脉波形异常,50例对照受试者均无异常。不同的多普勒波形模式与Child-Pugh评分之间未检测到统计学显著差异(p = 0.063)。

结论

我们的研究结果表明,肝静脉多普勒波形模式的改变提示肝硬化的存在,且肝衰竭程度与波形模式之间无关联。

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Rev Esp Enferm Dig. 1995 Sep;87(9):621-3.
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