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超声检查在肝硬化门静脉高压诊断中的临床应用

钟昕

检验医学与临床Issue(14):1921-1922,1924,3.
检验医学与临床Issue(14):1921-1922,1924,3.DOI:10.3969/j.issn.1672-9455.2014.14.014

超声检查在肝硬化门静脉高压诊断中的临床应用

Clinical application of ultrasound in the diagnosis of portal hypertension

钟昕1

作者信息

  • 1. 湖南省人民医院超声科,长沙 410002
  • 折叠

摘要

Abstract

Objective To study the clinical effect of ultrasound in the diagnosis of portal hypertension .Meth-ods A total of 110 cirrhosis patients with portal hypertension were enrolled as study group ,and 95 healthy subjects were enrolled as control group .Ultrasound examination was used to detect situation of splenic vein and portal vein . Results Values of inside diameter of splenic vein ,portal vein and Qsv/Qpv in study group were (1 .12 ± 0 .24)cm , (1 .43 ± 0 .52)cm ,(0 .56 ± 0 .09) ,which were receptively higher than the (0 .61 ± 0 .48)cm ,(0 .99 ± 0 .37)cm and (0 .24 ± 0 .15) of control group (P<0 .05) .Incidence rate of severe esophageal varices was 21 .3% in patients with inside diameter of splenic vein less than 1 .0 cm ,which was lower than the 44 .4% in patients with inside diameter of splenic vein at least 1 .0 cm (P<0 .05) .Incidence rate of severe esophageal varices was 18 .0% in patients with inside diameter of portal vein less than 1 .4 cm ,which was lower than the 43 .3% in patients with inside diameter of portal vein at least 1 .4 cm (P<0 .05) .Conclusion Ultrasonography might be sensitive and specific in the diagnosis of cir-rhosis with portal hypertension ,which could be worth of further clinical promotion and application .While it also could be with some diagnostic value in evaluation of degree of esophageal varices .

关键词

多普勒超声检查/肝硬化/门静脉高压症

Key words

doppler ultrasound/cirrhosis/portal hypertension

引用本文复制引用

钟昕..超声检查在肝硬化门静脉高压诊断中的临床应用[J].检验医学与临床,2014,(14):1921-1922,1924,3.

检验医学与临床

OACSTPCD

1672-9455

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