肝段下腔静脉的超声检测在酒精性肝硬化诊断中的意义

The value of hepatic inferior vena cava ultrasonography in diagnosis of alcoholic cirrhosis

目的评价肝段下腔静脉的超声检测在酒精性肝硬化诊断中的意义。方法超声检查分别测量21例酒精性肝硬化患者和21例正常人平静呼吸状态下、深吸气后肝段下腔静脉最大横断面的长轴、短轴及其最大横截面积。结果正常人组的肝段下腔静脉在深吸气后与平静呼吸状态下最大横断面的长轴、短轴及其最大横截面积比较差异有统计学意义(P<0.01);酒精性肝硬化组的肝段下腔静脉在深吸气后与平静呼吸状态下最大横断面的长轴、短轴及其横截面积比较差异无统计学意义。酒精性肝硬化组平静呼吸状态下肝段下腔静脉的最大横截面的长轴、短轴及截面积与对照组比较差异有统计学意义(P<0.01)。结论超声检测肝段下腔静脉横断面的长轴、短轴及其横截面积,以及深吸气后与平静呼吸状态下的变化是评价酒精性肝硬化的有效指标。

Objective To evaluate the value of hepatic inferior vena eava （IVC） ultrasonography in diagnosis of alcoholic cirrhotic： Methods Twenty - one patients with alcoholic cirrhosis and 21 health people as the control group were enrolled in this study. Their maximum transection long axis, minor axis and the area of IVC on normal breathing and ＇after deep breathing were measured by uhrasonography. Results There was significant difference of maximum transection long axis, minor axis and the area of IVC between normal breathing and deep inspiration in control group （P 〈 0.01 ） , while there was no significant difference of maximum transection long axis, minor axis and the area of IVC between normal breathing and deep inspiration in alcoholic cirrhosis group. Compared with control group, there were significant difference of maximum transaction long diameter, wide diameter and the section area of IVC on normal breathing （ P 〈 0.01 ）. Conclusion The changes of transection long axis, minor axis and the section area of IVC by uhrasonography on normal breathing and ＂after deep breathing are effective indexes in evaluating alcoholic cirrhosis.