彩色多普勒超声对诊断感染致婴儿肝炎综合征的价值分析

发布时间：2019-01-05 00:00

【摘要】：目的探讨彩色多普勒超声对诊断感染致婴儿肝炎综合征的价值,为临床诊断提供参考。方法选择医院2012年2月-2016年7月收治的感染致婴儿肝炎综合征患儿62例为研究对象,设为观察组,另选30名进行健康体检的婴儿为对照组,两组婴儿均进行彩色多普勒超声检查,对比分析两组婴儿门静脉(PV)血流参数、肝动脉(HA)血流参数及肝左、肝中和肝右静脉血管的直径情况。结果观察组PV主干血管直径(DPV)为(0.52±0.03)cm、最大血流速(PVV)为(25.32±2.06)cm/s,均大于对照组(0.43±0.04)cm、(21.56±1.75)cm/s,结果表明,感染致婴儿肝炎综合征患儿与正常婴儿相比,其DPV会增大,PVV更快,两组间差异有统计学意义(P0.05);观察组肝动脉血管直径(DPHA)为(0.16±0.03)cm、收缩期峰值血流速(PSV)为(62.50±9.61)cm/s、阻力指数(RI)为0.78±0.04,明显大于对照组(0.14±0.02)cm、(39.91±5.79)cm/s、0.64±0.03,结果表明,感染致婴儿肝炎综合征患儿与正常婴儿相比,其DPHA和RI会增大,PSV会加快,差异有统计学意义(t=3.3083,11.8561,16.9796,P0.05);两组舒张期血流速(EDV)差异无统计学意义(t=1.2806,0.2036);观察组肝左、肝中和肝右静脉血管直径分别为(0.19±0.01)cm、(0.20±0.03)cm、(0.23±0.03)cm与对照组(0.25±0.04)cm、(0.29±0.02)cm、(0.32±0.03)cm相比明显更低,表明感染致婴儿肝炎综合征患儿与正常婴儿相比,其肝左、肝中和肝右静脉血管直径会明显变小,两组间差异有统计学意义(P0.05)。结论通过彩色多普勒超声,能较清晰的反映患儿肝炎综合征情况,是一种高效、无创的诊断感染致婴儿肝炎综合征的方法,其临床信息丰富,应用价值较高,值得推广。
[Abstract]:Objective to evaluate the value of color Doppler ultrasonography in the diagnosis of infantile hepatitis syndrome caused by infection. Methods from February 2012 to July 2016, 62 infants with infantile hepatitis syndrome (infantile hepatitis syndrome) admitted in hospital were selected as observation group and 30 infants as control group. The blood flow parameters of portal vein (PV), hepatic artery (HA) blood flow and the diameter of left hepatic vein, liver and right hepatic vein were compared between the two groups by color Doppler ultrasound. Results the diameter of PV trunk in the observation group was (0.52 卤0.03) cm, the maximum blood flow velocity (PVV) was (25.32 卤2.06) cm/s, which was higher than that in the control group (0.43 卤0.04) cm, (21.56 卤1.75) cm/s,. Compared with the normal infants, the DPV of infantile hepatitis syndrome children increased and PVV was faster, the difference between the two groups was statistically significant (P0.05). The diameter of hepatic artery in the observation group was (0.16 卤0.03) cm, the peak systolic velocity (PSV) was (62.50 卤9.61) cm/s, resistance index (RI) was 0.78 卤0.04, which was significantly higher than that in the control group (0.14 卤0.02) cm,). (39.91 卤5.79) cm/s,0.64 卤0.03. The results showed that the DPHA, RI and PSV of infantile hepatitis syndrome increased and PSV increased (t = 3.3083, 11.8561or 16.9796, P 0.05). There was no significant difference in diastolic blood flow velocity (EDV) between the two groups (t = 1.2806 卤0.2036). The diameter of left liver, liver and right hepatic vein in observation group and control group were (0.19 卤0.01) cm, () 0.20 卤0.03) cm, (0.23 卤0.03) cm and (0.25 卤0.04) cm, () 0.29 卤0.02 cm, respectively. (0. 32 卤0. 03) cm was significantly lower than that of normal infants, indicating that the diameter of left liver, liver and right hepatic vein vessels in infantile hepatitis syndrome patients were significantly smaller than those in normal infants. The difference between the two groups was statistically significant (P0.05). Conclusion Color Doppler ultrasound can clearly reflect the situation of infantile hepatitis syndrome. It is an effective and noninvasive method for diagnosis of infantile hepatitis syndrome caused by infection. Its clinical information is abundant and its application value is high. It is worth popularizing.
【作者单位】：浙江省金华市中心医院;
【基金】：浙江省医药卫生科技计划项目(2014KYB361)
【分类号】：R445.1;R725.7

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