【摘要】 目的:探讨彩超在肝硬化门静脉高压中的诊断价值。方法:选取2018年8月—2020年7月肝硬化患者70例,其中34例为肝硬化失代偿期,纳入失代偿期组,36例为肝硬化代偿期,纳入代偿期组。健康人员35例作为正常对照组。比较各组肝动脉和门静脉血流动力学情况。结果:失代偿期组、代偿期组肝动脉和脾动脉的阻力指数、门脉高压指数均明显高于对照组(P<0.05),失代偿期组肝动脉和脾动脉的阻力指数、门脉高压指数均明显高于代偿期组(P<0.05)。失代偿期组、代偿期组门静脉内径、横截面积、充血指数、血流量均明显高于对照组(P<0.05),门静脉血流速度均明显低于对照组;失代偿期组门静脉内径、横截面积、充血指数、血流量均明显高于代偿期组,门静脉血流速度均明显低于代偿期组(P<0.05)。结论:彩超在肝硬化门静脉高压症诊断中具有一定的诊断价值。更多还原

【Abstract】 Objective To explore the value of color Doppler ultrasound in the diagnosis of portal hypertension in liver cirrhosis.Methods From August 2018 to July 2020,70 patients with liver cirrhosis were selected,34 of which were in the decompensated stage of cirrhosis,and were included in the decompensated group,and 36 were in the compensated stage of cirrhosis,and were included in the compensated group.35 healthy people served as normal control group.Compare the hemodynamics of hepatic artery and portal vein in each group.Results The resistance index of the hepatic artery and splenic artery and the portal hypertension index of the decompensated group and the compensated group were significantly higher than those of the control group (P<0.05),and the resistance index of the hepatic artery and splenic artery in the decompensated group The index of portal hypertension was significantly higher than that of the compensatory group (P﹤0.05).The portal vein diameter,cross-sectional area,congestion index,and blood flow of the decompensated group and the compensated group were significantly higher than those of the control group (P<0.05),and the portal blood flow velocity was significantly lower than that of the control group;the decompensated group The portal vein diameter,cross-sectional area,congestion index,and blood flow were significantly higher than those in the compensation period group,and the portal vein blood flow velocity was significantly lower than that in the compensation period group (P<0.05).Conclusion Color Doppler ultrasound has certain diagnostic value in the diagnosis of liver cirrhosis and portal hypertension.更多还原