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彩色多普勒超声对原发性肝癌合并门静脉高压的临床诊断价值 预览

Clinical Value of Color Doppler Ultrasonography in the Diagnosis of Primary Hepatic Carcinoma Complicated with Portal Hypertension
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摘要 目的 探讨彩色多普勒超声在诊断原发性肝癌合并门静脉高压中的临床价值。方法 选择原发性肝癌合并门静脉高压患者132例,同时,选取同期在我院体检的健康者60例作为对照组。采用彩色多普勒超声诊断仪检测肝脏及脾脏的血流动力学参数。结果 观察组患者Dpv、Vpv、Qpv、Dsv、Vsv和Qsv指标显著高于对照组,差异有统计学意义(P〈0.05)。不同门静脉主干内径组的患者食管胃底静脉曲张程度差异有统计学意义(P〈0.05)。不同脾静脉内径组的患者食管胃底静脉曲张程度差异有统计学意义(P〈0.05)。伴有门静脉癌栓的患者肝动脉主干直径明显增粗,平均血流速度显著加快,差异有统计学意义(P〈0.05)。结论 彩色多普勒超声用于评估原发性肝癌合并门静脉高压具有较高的临床应用价值。 Objective To investigate the clinical value of color doppler ultrasonography in the diagnosis of primary he- patic carcinoma complicated with portal hypertension. Methods 132 cases of primary liver cancer complicated with portal hyper- tension were selected,60 healthy patients was the control group. Color doppler ultrasonic was used to detect the hemodynamic parameters of liver and spleen. Results The portal vein diameter, portal vein velocity, portal vein quantity, splenic vein diameter, splenic vein velocity and splenic vein quantity indicators of the observation group were significantly higher than the control group, the difference was statistically significant( P 〈 0.05 ). There was significant difference in the degree of esophageal and gastric vailces in patients with different portal vein diameter group (P 〈 0.05 ). There was significant difference in the degree of esophageal and gastric variees between different splenic vein diameter groups ( P 〈0. 05 ). The diameter of hepatic artery in patients with portal vein tumor thrombus was significantly increased, and the mean blood flow velocity was significantly increased, the difference was statistically significant (P 〈 0.05 ). Conclusion Color Doppler ultrasound in the evaluation of primary liver cancer with portal hypertension has high clinical application value.
作者 陈晓婷 王东平 周建 CHEN Xiaoting, WANG Dongping, ZHOU Jian. (Chuzhou First People's Hospital, Chuzhou,239000)
出处 《实用癌症杂志》 2018年第2期254-256,261共4页 The Practical Journal of Cancer
关键词 彩色多普勒超声 原发性肝癌 门静脉高压 血流动力学 门静脉癌栓 Color Doppler uhrasound Primary liver cancer Portal hypertension Hemodynamies Portal vein tumor thrombus
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