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时间:2020-05-09
《超声检测肝豆肝病患者肝脾血流及相关性研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、临床超声医学杂志2015年2月第17卷第2期JClinUltrasoundinMed,Feburary2015,Vo1.17,No.2·105··ll缶床研究·超声检测肝豆肝病患者肝脾血流及相关性研究王佳佳张靖陈晓艺李保启王金萍摘要目的通过观察肝豆肝病患者门静脉、肝动脉和脾门处脾动脉、脾静脉血流动力学变化,探讨超声在检测肝豆肝病肝脏、脾脏血流变化中的应用价值。方法体检健康者60例为对照组,肝豆肝病未合并脾大组(A组)60例,肝豆肝病合并脾大组(B组)6O例,超声观测其肝动脉、脾门处脾动脉的血流收缩期峰值速度(PSV),
2、门静脉主干及脾静脉最高血流速度(Vmax);分析肝动脉、脾门处脾动脉PSV相关性。结果①与对照组比较,A组和B组门静脉Vmax均降低,脾门处脾动脉PSV增高,且血流量明显上升;B组肝动脉PSV减低;A组脾门处脾静脉Vmax降低;B组脾门处脾静脉Vmax升高,差异均有统计学意义(P3、患者肝脏、脾脏的血流动力学变化,可为临床早期评估肝脏、脾脏的血流灌注状态,对病情进展及其治疗提供参考。关键词超声检查;肝豆肝病;肝动脉;脾动脉[中图法分类号]R742.4;R445.1[文献标识码]ADetectionofbloodflowdynamicchangesofliverandspleeninhepat0lenticulardegenerationpatientsbyultrasoundWangJiajia,ZhangJing,ChenXiaoyi,LiBaoqi,WangJinpingDepartmento4、fUhrasound,theFirstAfiliatedHospital,AnhuiUniversityofTraditionalChineseMedicine,Hefei230031,ChinaABSTRACTObjectiveToobservethehemodynamicchangesofportalvein,hepaticartery,splenicarteryandveinnearthehilus,andtoexploretheapplicationvalueoful~asoundindetectionofbl5、oodflowchangesofliverandspleeninhepatolenticulardegeneration(HLD)patients.MethodsColorDopplerul~asoundwasperformedinthreegroups[normalgroup,HLDwithoutsplenomegalygroup(groupA)andHLDcombinedwithsplenomegalygroup(groupB)].Themaximumvelocity(Vmax)ofportalvein,thepe6、aksystolicvelocity(PSV)ofhepaticartery,thePSVofsplenicarteryandtheVmaxofveinReal"thehilusweremeasured,andthecorrelationofPSVbetweenthehepaticarteryandthesplenicarterywasanalyzed.Results①Comparedwithnormalgroup,theVmaxofportMveinandsplenicveiningroupAandBwereredu7、ced,PSVofsplenicarterywasaccelerated.ThePSVofhepaticarterywasreducedingroupB.andthesechangeswerestatisticallysignificant(P<0.05).②ComparedtogroupA,theVmaxofpoemveinandsplenicvein,thePSVofhepaticarterywerereduced.PSVofsplenicarterywasaccelerated,andthechangeswere8、statisticallysignificant(P<0.05).⑧ThePSVofhepaticarteryandsplenicarteryhadnegativecorrelation(r=-0.837.P=O.039).ConclusionDetectionofthehemodynamicchangesofliverandsp
3、患者肝脏、脾脏的血流动力学变化,可为临床早期评估肝脏、脾脏的血流灌注状态,对病情进展及其治疗提供参考。关键词超声检查;肝豆肝病;肝动脉;脾动脉[中图法分类号]R742.4;R445.1[文献标识码]ADetectionofbloodflowdynamicchangesofliverandspleeninhepat0lenticulardegenerationpatientsbyultrasoundWangJiajia,ZhangJing,ChenXiaoyi,LiBaoqi,WangJinpingDepartmento
4、fUhrasound,theFirstAfiliatedHospital,AnhuiUniversityofTraditionalChineseMedicine,Hefei230031,ChinaABSTRACTObjectiveToobservethehemodynamicchangesofportalvein,hepaticartery,splenicarteryandveinnearthehilus,andtoexploretheapplicationvalueoful~asoundindetectionofbl
5、oodflowchangesofliverandspleeninhepatolenticulardegeneration(HLD)patients.MethodsColorDopplerul~asoundwasperformedinthreegroups[normalgroup,HLDwithoutsplenomegalygroup(groupA)andHLDcombinedwithsplenomegalygroup(groupB)].Themaximumvelocity(Vmax)ofportalvein,thepe
6、aksystolicvelocity(PSV)ofhepaticartery,thePSVofsplenicarteryandtheVmaxofveinReal"thehilusweremeasured,andthecorrelationofPSVbetweenthehepaticarteryandthesplenicarterywasanalyzed.Results①Comparedwithnormalgroup,theVmaxofportMveinandsplenicveiningroupAandBwereredu
7、ced,PSVofsplenicarterywasaccelerated.ThePSVofhepaticarterywasreducedingroupB.andthesechangeswerestatisticallysignificant(P<0.05).②ComparedtogroupA,theVmaxofpoemveinandsplenicvein,thePSVofhepaticarterywerereduced.PSVofsplenicarterywasaccelerated,andthechangeswere
8、statisticallysignificant(P<0.05).⑧ThePSVofhepaticarteryandsplenicarteryhadnegativecorrelation(r=-0.837.P=O.039).ConclusionDetectionofthehemodynamicchangesofliverandsp
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