【摘要】：目的：探討應用彩色多普勒超聲檢測脾血流動力學參數(shù)在肝炎后肝硬化、慢性肝炎及血液病所致脾腫大的應用價值。 方法：應用彩色多普勒超聲對40例肝炎后肝硬化脾腫大患者、31例慢性肝炎脾腫大患者、40例血液病脾腫大患者及54例正常人的脾動脈主干(SA)、脾葉動脈(SLA)、胰腺后脾靜脈(SV)、脾葉靜脈(SLV)、門靜脈主干(PV)的血流動力學參數(shù)進行檢測,應用統(tǒng)計學方法對檢測結果進行對比分析。 結果：(1)肝硬化組及血液病組SA、SLA的收縮期峰值血流速度(Vs)明顯高于慢性肝炎組SA、SLA的收縮期峰值血流速度(P0.005),肝硬化組SA、SLA的血流速度(Vs、Vd)與血液病組SA、SLA的血流速度(Vs、Vd)比較差異無統(tǒng)計學意義(P0.05)。(2)血液病組SV、SLV、PV的平均血流速度(Vm)均明顯高于肝硬化組、慢性肝炎組及對照組(P0.005)。(3)肝硬化組PV的Vm低于血液病組、慢性肝炎組及對照組(P0.05),慢性肝炎組PV的Vm與對照組PV的Vm比較差異無統(tǒng)計學意義(P0.05)。(4)肝硬化組SV、PV內徑(D)明顯大于血液病組、慢性肝炎組及對照組(P0.001)。(5)肝硬化組SV每分鐘平均血流量大于血液病組及慢性肝炎組(P0.05)；對照組SV、SLV、PV每分鐘的平均血流量均低于肝硬化組、血液病組及慢性肝炎組(P0.001)。 結論：利用彩色多普勒超聲檢測脾血流動力學參數(shù),有助于區(qū)分肝炎后肝硬化、慢性肝炎及血液病所致脾腫大,有利于指導臨床進行干預治療,具有臨床應用價值。本研究所檢測的血流參數(shù)中,PV的Vm是區(qū)分肝炎后肝硬化、慢性肝炎及血液病所致脾腫大的較好指標。
[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.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R445.1;R551.1

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相關期刊論文 前1條

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