彩色多普勒超声评价胆道闭锁与婴儿肝炎综合征血流动力学变化-论文.pdf

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1、·1998·中国医学影像技术2013年第29卷第12期ChinJMedImagingTechnol，2013，Vol29,No12◆◆◆腹部影像学ColorDopplerultrasoundinevaluationOilhemodynamicchangesofbiliaryatresiaandinfantilehepatitissyndromeHEXiao，GAOJian—bo“，HUAShao—hua，FANMei，Rui—tla，WANGLu(1．DepartmentofUltrasonography，2．DepartmentofImaging，t

2、heFirstAffiliatedHospitalofZhengzhouUniversity，Zhengzhou450052，China)[-Abstract]ObjectiveToexplorethedifferenceofhepaticandsplenichemodynamicchangesbetweenbiliaryatresia(BA)andinfantilehepatitissyndrome(IHS)．MethodsThirtyinfantswithBA(BAgroup)and35infantswithIHS(IHSgroup)provedb

3、ysurgicaloperationwerecollected，andthen35normalinfantswerechosenascontrolgroupinthesametime．CDF1was．performedonallinfantsbeforetherapy．Theparametersofportalvein(PV)，hepaticartery(HA)，spleenvein(SPV)andspleenartery(SPA)weremeasured．TheparametersofPVandSPVincludedantero—posteriord

4、iameter，transversediameterandthemeanvelocity(VPv，VsPv)．Theantero—posteriordiameterwasservedasdiameterofPVandSPV(Dpv，DsPv)．HAparametersincludeddiameter(DHA)，themaximumvelocity(VHA)andresistanceindex(RIaA)．SPAparametersincludeddiameter(DsPA)，themaximumvelocity(VspA)andresistancein

5、dex(RIspA)．AndflowofPV(QPv)，thecongestionindexofPV(CIPv)，flowofSPV(QsPv)，congestionindexofSPV(CIspv)andtherateofvelocityofHAandPV(A／P)werecalculated．Dataofthreegroupswerestatisticallyanalyzed．ResultsTherewasnosignificantdifferenceinDPv，QPv，VHA，DsPv、VsPv，QsPv，CIspv，DsPAandVseAamo

6、ng3groups(P>O．05)．VPvwaslowerandDHAwaswiderinBAgroupthanintheothertwogroups，CIPv，RIHA，A／PandRIsPAinBAgroupwerehigherthanthoseintheothertwogroups(allP<0．05)．TherewasnosignificantdifferenceoftheaboveindexesbetweenIHSgroupandcontrolgroup(P>O．05)．ConclusionThereisnoobvioushemodynami

7、cchangesofliverandspleenininfantswithIHS．DHA，RI．A，Vpv，Clpv，A／PandRISPAarereliableparametersofhemodynamicchangesindifferentialdiagnosisofBAandIHS．[-Keywords]Biliaryatresia；Infantilehepatitissyndrome；Hemodynamics；Uhrasonography，Doppler，color彩色多普勒超声评价胆道闭锁与婴儿肝炎综合征血流动力学变化贺晓，高剑波，滑少华，范

8、梅，于瑞娜，王璐(I．郑州大学第一附属医院超声科，2．影像科，河南郑州450052)[摘要]目