川北医学院学报2024，Vol.39Issue(8)：1068-1071,4.DOI:10.3969/j.issn.1005-3697.2024.08.015
腹部超声对原发性肝癌患者门静脉高压及门静脉癌栓的诊断价值
Diagnostic value of abdominal ultrasound in the diagnosis of portal hyper-tension and portal vein tumor thrombus in patients with primary hepatic carcinoma
摘要
Abstract
Objective:To explore the diagnostic value of abdominal ultrasound in the diagnosis of portal hypertension and portal vein tumor thrombus in patients with primary hepatic carcinoma.Methods:118 patients with primary hepatic carcinoma were secleted as the research subjects.All patients underwent abdominal ultrasound examination,and they were divide into portal hypertension group(n=80)and non portal hypertension group(n=38)based on the presence of portal hypertension.The portal vein diameter(Dpv),splenic vein diameter(Dsv),portal vein flow velocity(Vpv)and splenic vein flow velocity(Vsv)were compared between the two groups,the correlation between Dpv and Dsv with the degree of esophageal and gastric varicose veins in patients with portal hypertension was analyzed.According to the presence of portal vein thrombosis,the patients were divided into two groups:the portal vein tumor thrombus group(n=43)and the non portal vein tumor thrombus group(n=75),the diameter of the main hepatic artery and the blood flow velocity of the hepatic artery were compared between two groups.Results:The Dpv and Dsv of the portal hypertension group were larger than those of the non-portal hypertension group(P＜0.05),the Vpv and Vsv were lower than those in the non-portal hyperten-sion group(P＜0.05).Dpv and Dsv were positively correlated with the degree of esophageal and gastric varicose veins(P＜0.05).The diameter of main hepatic artery in the portal vein tumor thrombus group was larger than that in the non-portal vein tumor thrombus group(P＜0.05),and blood flow velocity was higher than that in the non-portal vein tumor thrombus group(P＜0.05).Conclusion:Abdominal ultrasound can help to diagnose portal hypertension and portal vein tumor thrombus in patients with primary hepatic carcino-ma.It has high value in clinical diagnosis and has guiding significance for clinical treatment.关键词
原发性肝癌/门静脉高压/门静脉癌栓/腹部超声Key words
Primary hepatic carcinoma/Portal hypertension/Portal vein tumor thrombus/Abdominal ultrasound分类
医药卫生引用本文复制引用
刘文静,迟男男..腹部超声对原发性肝癌患者门静脉高压及门静脉癌栓的诊断价值[J].川北医学院学报,2024,39(8):1068-1071,4.基金项目
黑龙江省教育科学规划重点项目(1868) （1868）
