彩色多普勒超声在肝病及血液病所致脾肿大的应用价值
发布时间：2019-07-04 09:51
【摘要】：目的：探讨应用彩色多普勒超声检测脾血流动力学参数在肝炎后肝硬化、慢性肝炎及血液病所致脾肿大的应用价值。 方法：应用彩色多普勒超声对40例肝炎后肝硬化脾肿大患者、31例慢性肝炎脾肿大患者、40例血液病脾肿大患者及54例正常人的脾动脉主干(SA)、脾叶动脉(SLA)、胰腺后脾静脉(SV)、脾叶静脉(SLV)、门静脉主干(PV)的血流动力学参数进行检测,应用统计学方法对检测结果进行对比分析。 结果：(1)肝硬化组及血液病组SA、SLA的收缩期峰值血流速度(Vs)明显高于慢性肝炎组SA、SLA的收缩期峰值血流速度(P0.005),肝硬化组SA、SLA的血流速度(Vs、Vd)与血液病组SA、SLA的血流速度(Vs、Vd)比较差异无统计学意义(P0.05)。(2)血液病组SV、SLV、PV的平均血流速度(Vm)均明显高于肝硬化组、慢性肝炎组及对照组(P0.005)。(3)肝硬化组PV的Vm低于血液病组、慢性肝炎组及对照组(P0.05),慢性肝炎组PV的Vm与对照组PV的Vm比较差异无统计学意义(P0.05)。(4)肝硬化组SV、PV内径(D)明显大于血液病组、慢性肝炎组及对照组(P0.001)。(5)肝硬化组SV每分钟平均血流量大于血液病组及慢性肝炎组(P0.05)；对照组SV、SLV、PV每分钟的平均血流量均低于肝硬化组、血液病组及慢性肝炎组(P0.001)。 结论：利用彩色多普勒超声检测脾血流动力学参数,有助于区分肝炎后肝硬化、慢性肝炎及血液病所致脾肿大,有利于指导临床进行干预治疗,具有临床应用价值。本研究所检测的血流参数中,PV的Vm是区分肝炎后肝硬化、慢性肝炎及血液病所致脾肿大的较好指标。
[Abstract]:Objective: To study the value of the application of color Doppler ultrasound in the detection of the splenomegaly caused by liver cirrhosis, chronic hepatitis and hemopathy after hepatitis. Methods: The splenic artery trunk (SA), the splenic artery (SLA), the splenic vein (SV), the splenic vein (SLV), the splenic artery (SLA), the post-pancreas splenic vein (SV) and the splenic vein (SLV) of 40 patients with liver cirrhosis and splenomegaly in 40 patients with liver cirrhosis after hepatitis were applied by color Doppler ultrasound. And the blood flow kinetic parameters of the portal vein trunk (PV) are detected, and the scores of the detection results are compared by a statistical method. Results: (1) The systolic peak blood flow velocity (Vs) of the patients with liver cirrhosis and blood disease group SA and SLA was significantly higher than that of SA and SLA in chronic hepatitis group (P0.05). The blood flow velocity (Vs, Vd) and blood flow velocity (Vs, Vd) of SA and SLA in liver cirrhosis group were significantly higher than those in chronic hepatitis group SA and SLA (P0.05). The blood flow velocity (Vs, Vd) of the group SA and SLA was not statistically significant (P0. (2) The mean blood flow velocity (Vm) of SV, SLV and PV in the blood disease group was significantly higher than that of the liver cirrhosis group, the chronic hepatitis group and the control group (P0.05). (3) The Vm of PV in the liver cirrhosis group was lower than that of the hemopathy group, the chronic hepatitis group and the control group (P0.05), and the Vm of the PV of the chronic hepatitis group and the Vm of the control group PV were not statistically significant (P0. (4) The internal diameter (D) of the SV and PV in the liver cirrhosis group was significantly higher than that of the hemopathy group, the chronic hepatitis group and the control group (P0.05). (5) The mean blood flow of SV, SLV and PV in the liver cirrhosis group was higher than that of the liver cirrhosis group, the hemopathy group and the chronic hepatitis group (P0.05). Conclusion: The parameters of splenic hemodynamics were detected by color Doppler ultrasound, which could help to distinguish the splenomegaly caused by liver cirrhosis, chronic hepatitis and hemopathy. The value of Vm in the blood flow parameters detected by the study is to distinguish the splenomegaly caused by cirrhosis, chronic hepatitis and hemopathy after hepatitis.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R445.1;R551.1
本文编号：2509829
[Abstract]:Objective: To study the value of the application of color Doppler ultrasound in the detection of the splenomegaly caused by liver cirrhosis, chronic hepatitis and hemopathy after hepatitis. Methods: The splenic artery trunk (SA), the splenic artery (SLA), the splenic vein (SV), the splenic vein (SLV), the splenic artery (SLA), the post-pancreas splenic vein (SV) and the splenic vein (SLV) of 40 patients with liver cirrhosis and splenomegaly in 40 patients with liver cirrhosis after hepatitis were applied by color Doppler ultrasound. And the blood flow kinetic parameters of the portal vein trunk (PV) are detected, and the scores of the detection results are compared by a statistical method. Results: (1) The systolic peak blood flow velocity (Vs) of the patients with liver cirrhosis and blood disease group SA and SLA was significantly higher than that of SA and SLA in chronic hepatitis group (P0.05). The blood flow velocity (Vs, Vd) and blood flow velocity (Vs, Vd) of SA and SLA in liver cirrhosis group were significantly higher than those in chronic hepatitis group SA and SLA (P0.05). The blood flow velocity (Vs, Vd) of the group SA and SLA was not statistically significant (P0. (2) The mean blood flow velocity (Vm) of SV, SLV and PV in the blood disease group was significantly higher than that of the liver cirrhosis group, the chronic hepatitis group and the control group (P0.05). (3) The Vm of PV in the liver cirrhosis group was lower than that of the hemopathy group, the chronic hepatitis group and the control group (P0.05), and the Vm of the PV of the chronic hepatitis group and the Vm of the control group PV were not statistically significant (P0. (4) The internal diameter (D) of the SV and PV in the liver cirrhosis group was significantly higher than that of the hemopathy group, the chronic hepatitis group and the control group (P0.05). (5) The mean blood flow of SV, SLV and PV in the liver cirrhosis group was higher than that of the liver cirrhosis group, the hemopathy group and the chronic hepatitis group (P0.05). Conclusion: The parameters of splenic hemodynamics were detected by color Doppler ultrasound, which could help to distinguish the splenomegaly caused by liver cirrhosis, chronic hepatitis and hemopathy. The value of Vm in the blood flow parameters detected by the study is to distinguish the splenomegaly caused by cirrhosis, chronic hepatitis and hemopathy after hepatitis.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R445.1;R551.1
【参考文献】
相关期刊论文 前1条
1 罗蓉;赵健雄;;彩超对肝硬化门、脾静脉血流量检测与电子胃镜食管胃底静脉曲张相关性的观察[J];重庆医学;2011年11期
，本文编号：2509829
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