多普勒腹壁静脉血流图检测肝硬化的临床意义

Doppler Ultrasonography of Abdominal Wall Vein Flow in Cirrhotics

本文对30例肝硬化、3例慢活肝和20例正常人的多普勒腹壁静脉血流图进行了研究,并与B超、食道x线/或内镜等常规检查作了对比,分析其与肝功child分级的相关性;观察了12例门脉高压患者心得安治疗前后的腹壁静脉血流图变化。发现本组肝硬化患者的异常腹壁静脉血流阳性率达97％,远高于常规检查;腹壁静脉血流指数与肝功child分级呈正相关;心得安治疗前后,患者腹壁静脉血流指数有较明显的变化。作者认为本法简便,无创伤,能对肝硬化门脉高压作出定量分析,有助于对此病作出早期诊断,有助于肝硬化患者的预后估计,也可作为降门脉压药物疗效的监测指标。

Doppler ultrasonography was used in this study to examine abdominal wall vein flow in 30 patients with hepatic cirrhosis and 20 controls. It was found that positive rate of abdominal wall vein flow in cirrhosis was significantly higher than the controls (P<0. 01). There was a significant positive correlation between the abdominal wall vein flow indices in all cirrhotics and the Child grades. The indices in the 12 cases treated by propranolol markedly decreased. This study suggests that Doppler ultrasonography is a simple, safe, sensitive and clinically valuable method.