肝硬化患者颈段胸导管的超声影像学特征

发布时间：2018-03-04 00:05

本文选题：超声检查　切入点：胸导管　出处：《中国超声医学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的应用超声测量肝硬化患者颈段胸导管内径,评估不同类型肝硬化患者胸导管内径的差异及意义。方法选取我院临床确诊为慢性肝病肝硬化患者163例,其中慢性乙型肝炎肝硬化(CHB)患者61例,慢性丙型肝炎肝硬化(CHC)患者32例,酒精性肝硬化(AC)患者42例,自身免疫性肝炎肝硬化(AHC)患者28例。同期选取65例健康志愿者作为对照组。应用高频超声测量颈段胸导管内径(CTDd),比较各组CTDd的差异。结果 CHB、CHC、AC、AHC组颈段胸导管超声显示率分别为97%、100%、100%、89%,健康对照组显示率为89%,显示率差异无统计学意义(P0.05)。健康对照组的CTDd测值最小,为(2.11±0.58)mm;AHC组、CHB组、CHC组AC组CTDd测值分别为(3.96±1.31)mm、(4.49±1.31)mm、(4.62±1.56)mm、(6.07±2.60)mm,较对照组均明显增宽,差异有统计学意义(P0.000);AHC组、CHB组、CHC组各组间差异无统计学意义(P0.05);AC组CTDd测值较AHC组、CHB组、CHC组增宽,差异有统计学意义(P0.01)。结论肝硬化患者胸导管内径较正常人明显增宽,不同病因导致增宽程度有所差别。
[Abstract]:Objective to measure the inner diameter of cervical thoracic ducts in patients with liver cirrhosis and to evaluate the difference and significance of the diameter of thoracic ducts in patients with different types of cirrhosis. Methods 163 patients with chronic liver cirrhosis were selected in our hospital. There were 61 patients with chronic hepatitis B cirrhosis, 32 patients with chronic hepatitis C cirrhosis and 42 patients with alcoholic cirrhosis. Twenty-eight patients with autoimmune hepatitis cirrhosis (CTDd) and 65 healthy volunteers (control group) were selected as control group. High frequency ultrasound was used to measure the inner diameter of cervical thoracic duct and compare the difference of CTDd in each group. The display rates were 97% and 100%, respectively. The display rate of the healthy control group was 89 and the difference was not statistically significant (P 0.05). The CTDd of the healthy control group was the smallest. The CTDd values of AC group in CHC group were 3.96 卤1.31 卤1.31 mm, respectively, which were significantly wider than those in control group (4.62 卤1.56 卤1.56). The difference was not statistically significant (P 0.000). There was no significant difference between the two groups. The CTDd value of AC group was significantly wider than that of AHC group (P < 0.05), and the value of CTDd in AC group was significantly wider than that in AHC group (P < 0.05), which was significantly higher than that in control group (P < 0.05). Conclusion the inner diameter of thoracic ducts in patients with liver cirrhosis is significantly wider than that in normal subjects, and the extent of enlargement is different in different etiology.
【作者单位】：首都医科大学附属北京世纪坛医院超声科(北京大学第九临床医学院);
【基金】：首都卫生发展科研专项青年项目(No.2014QN158) 首都医科大学附属北京世纪坛医院“无栓、无血、无痛医院”临床专项基金(No.2015-SW07) 北京市科委首都临床特色应用研究(No.Z171100001017043)
【分类号】：R445.1;R575.2

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