超声对肝硬化脾切除前后门静脉血流的研究

A study to the Wood flow in portal vein with ultrasonography before and after splenectomy for cirrhosis

目的:探讨彩色多普勒超声(CDUS)在肝硬化脾肿大门静脉高压症患者行脾切除术的临床应用价值。方法:用彩色多普勒超声对80例肝硬化脾切除患者手术前后门静脉血流动力学进行连续观测和对比分析。结果:与手术前相比,脾脏切除加断流术后2周,门静脉内径变窄和血流量明显减少,与手术前后比较差异有显著性(P<0.01)。结论:超声检查在脾切除手术前后门静脉血流动力学改变的检测有重要的价值。

[Objective]To study the clinical value of color Doppler ultrasonography(CDUS) splenectomy used for Cirrhosis patients with portal vein hypertension and after splenectomy.[Method]Take continuous observation and comparative analysis for portal venous flow in patients with Cirrhosis by color Doppler ultrasound before and after splenectomy.[Result]Compared with before surgery,portal vein diameter turned narrower and the flow was significantly reduced when 2 weeks after splenectomy and Portal devascularization.It was a significant difference between before and after surgery(P < 0.01).[Conclusion]Color Doppler ultrasonography is of great value to detect the changes of blood flow of portal vein after splenectomy.