【摘要】 [目的]探讨肝硬化中医证型与彩色多普勒超声特征的相关性,为肝硬化辨证分型提供客观依据。[方法]采用彩色多普勒超声检测150例6种不同中医证型肝硬化患者的肝、胆、脾,对其肝右叶最大斜径、前后径,肝左叶上下径、前后径,胆囊壁厚度,脾脏大小,肝静脉内径,门静脉及脾静脉内径及血流速度等超声指标进行分析。[结果]不同证型肝硬化患者肝左叶上下径:血瘀证与肝气郁结证、湿热内蕴证、肝肾阴虚证比较明显缩小(P<0.05);脾脏厚度:血瘀证较湿热内蕴证明显增厚(P<0.05);门静脉主干内径:肝肾阴虚证、脾肾阳虚证、血瘀证明显增宽,与湿热内蕴证比较差异有统计学意义(P<0.05);门静脉血流流速:血瘀证流速减慢,与肝气郁结证比较差异有统计学意义(P<0.01)。[结论]彩色多普勒超声与肝硬化中医辨证分型有一定相关性,随着证型的发展,肝脾大小及门静脉血流动力学有相应改变。更多还原

【Abstract】 [Objective] To explore the correlation of the differentiation classification and color Doppler ultrasound character of hepatic cirrhosis and to prove external evidence for identifying them.[Methods]One hundred and fifty cases of cirrhosis with six differentiation-classification were investigated by color Doppler ultrasonograph.The ultrasound index included the largest occipitomental diameter and anteroposterior diameter of right hepatic lobe,the length and anteroposterior diameter of left hepatic lobe,the thick of cystic wall,the size of spleen,the inner diameter of hepatic vein.Diameters and blood flow rate of the portal vein and splenic vein were tested by color Doppler sonography.[Results] The length of left hepatic lobe in patients with the blood stasis syndrome was significantly different to that of stagnation of liver Qi,or internal accumulation of damp-heat,or hepatic and renal Yin deficiency syndrome,respectively(P<0.05).The thickness of spleen in patients with internal accumulation of damp-heat and the blood stasis syndrome were significantly different(P<0.05).Diameter of the main portal vein in patients with internal accumulation of dampheat were significantly different to that of the hepatic and renal yin deficiency,or the asthenic splenonephro-yang,or the blood stasis syndrome,respectively(P<0.05).The blood flow velocity of the portal vein with the blood stasis syndrome was significantly different to the stagnation of liver Qi(P<0.01).Diameter of the portal vein in patients with different classification was expanded,and the blood flow velocity of the portal vein was slow.[Conclusion ]The ultrasonic feature has correlation to the differentiation classification of hepatic cirrhosis,the size of liver and spleen and the blood flow of the portal vein changed with the development of the differentiation classification.更多还原