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慢性肝脏疾患肝右静脉多普勒频谱改变

Changes of Doppler waveforms in right hepatic vein in patients with chronic hepatic diseases

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【作者】 金修才姜红陈小松章建全

【Author】 JIN Xiu Cai 1* , JIANG Hong 1, CHEN Xiao Song 2, ZHANG Jian Quan 1(1. Department of Ultrasonography, Changzheng Hospital, Second Military Medical University, Shanghai 200003,China;2. Department of Infectious Diseases,Changzheng Hospital)

【机构】 第二军医大学长征医院超声科长征医院感染科第二军医大学长征医院超声科 上海200003上海200003上海200003

【摘要】 将所有受试对象分为正常对照、肝纤维化和肝硬化 3组 ,肝硬化患者根据肝功能分为 Child A、B、C三级 3个亚组。用超声仪测量肝右静脉频谱。发现正常对照组 10 0 % (5 0 / 5 0 )、肝纤维化组 70 .8% (34/ 4 8)、肝硬化组 4 0 .7% (5 5 / 135 )的患者肝右静脉频谱为 HV0型 ,16 .7% (8/ 4 8)的肝纤维化与 17.8% (2 4 / 135 )的肝硬化患者肝右静脉频谱为 HV1型 ,12 .5 % (6 / 4 8)的肝纤维化与 4 1.5 % (5 6 / 135 )的肝硬化患者肝右静脉频谱为 HV2型。肝硬化 HV2型的出现率较肝纤维化患者明显升高 (P<0 .0 1)。表明肝右静脉 HV2型频谱的出现可作为肝硬化诊断的提示性指标

【Abstract】 Patients were divided into normal control, liver fibrosis and liver cirrhosis groups. The patients with cirrhosis were categorized according to the Child Pugh classification into Child A,Child B and Child C groups. The waveforms of the right hepatic vein were examined with ultrasonography. HV(hepatic vein)0 waveforms were found in all the control subjects, 70.8% in those with fibrosis and 40.7% in those with cirrhosis. HV1 were found in 16.7% of those with fibrosis and 17.8% of those with cirrhosis. HV2 were found in 12.5% of those with fibrosis and 41.5% of those with cirrhosis. Statistical analysis showed that HV2 waveforms were significantly more often in patients with cirrhosis than in those with fibrosis. HV2 waveforms in the right hepatic vein are suggestive of liver cirrhosis.

  • 【文献出处】 第二军医大学学报 ,Academic Journal of Second Military Medical University , 编辑部邮箱 ,2003年08期
  • 【分类号】R445.1
  • 【被引频次】10
  • 【下载频次】38
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