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超声检查在肝硬化患者经颈静脉肝内门静脉内支架分流术后的应用

张敬安 侯昌龙 吴慧娟 胡蕾

局解手术学杂志2017,Vol.26Issue(8):577-580,4.
局解手术学杂志2017,Vol.26Issue(8):577-580,4.DOI:10.11659/jjssx.01E017053

超声检查在肝硬化患者经颈静脉肝内门静脉内支架分流术后的应用

Ultrasonic examination for patients with liver cirrhosis after transjugular intrahepatic portosystemic shunt

张敬安 1侯昌龙 2吴慧娟 1胡蕾1

作者信息

  • 1. 安徽医科大学附属安徽省立医院超声科,安徽 合肥 230001
  • 2. 安徽医科大学附属安徽省立医院介入治疗科,安徽 合肥 230001
  • 折叠

摘要

Abstract

Objective To investigate the application of ultrasonic examination for patients with liver cirrhosis after transjugular intrahepatic portosystemic shunt (TIPS) in the stents in artificial channel (SIAC) and portal vein (PV).Methods The clinical data of 28 patients who were admitted into our hospital from January 2013 to February 2017 and received TIPS were analyzed.Scanned the stents in artificial channel and portal vein and their inner diameter through transabdominal probe,and then measured the blood flow velocity by doppler.ResultsAfter TIPS,the SIAC of cirrhosis patients showed parallel tubular high echo,smooth wall and clear vessel lumen.And the inner diameter of SIAC was (5.93±0.76)mm,the blood flow velocity was (97.14±28.46)cm/s,and the 95% reference value was 4.45 mm~7.41 mm and 41.36~152.92 cm/s respectively.And the inner diameter of PV was (12.40 mm±2.90)mm,the blood flow velocity was (38.33 cm±16.01)cm/s,and the 95% reference value was 6.72~18.08 mm and 22.32~49.34 cm/s respectively.Conclusion Ultrasonography can give objective evaluation of whether SIAC and PV is unobstructed after TIPS,and it can get their parameters of inner diameter and velocity.As a result, ultrasonography can be regard as a perfect means for follow-up checkup.

关键词

肝硬化/介入治疗/门腔分流术/超声检查

Key words

liver cirrhosis/interventional therapy/portocaval shunt/ultrasonography

分类

医药卫生

引用本文复制引用

张敬安,侯昌龙,吴慧娟,胡蕾..超声检查在肝硬化患者经颈静脉肝内门静脉内支架分流术后的应用[J].局解手术学杂志,2017,26(8):577-580,4.

局解手术学杂志

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