超声诊断肝硬化及并发症的研究进展

Research progress of ultrasound in diagnosis of liver cirrhosis and its complications

研究彩色多普勒超声对肝硬化的诊断意义。随机选取50例肝硬化患者为观察组,在健康体检人员中选取40例为对照组。两组均行腹部B超、测量脾脏长径、厚度、门静脉主干宽度、门静脉血流流速及门静脉血流量,采用ChildPugh分级标准进行肝功能分级,并行胃镜了解食管静脉曲张的程度。观察组患者肝功能失代偿者人数明显多于对照组,两组差异有统计学意义(P<0.05)。彩色多普勒超声检测门静脉内径及血流动力学变化,对老年肝硬化PHT的诊断有重要价值。

Study the diagnostic value of color Doppler ultrasound in the diagnosis of cirrhosis. 50 patients with liver cirrhosis were randomly selected as the observation group and 40 cases of healthy persons were selected as the control group. Two groups were treated with abdominal ultrasonography,measuring the length of spleen diameter,thickness,width of main portal vein,blood flow velocity of the portal vein and portal vein blood flow,the classification of liver function by child Pugh classification standard,parallel degree of endoscopic esophageal varices. The number of patients with liver function in the observation group was significantly increased compared with the control group,the difference was statistically significant（P〈0.05） between the two groups. Color Doppler ultrasound has important value in the diagnosis of PHT in elderly patients with cirrhosis.