彩超观察肝脏血流动力学、胆囊壁变化与肝功能的临床应用

Color Doppler Ultrasound Observation of Hepatic Hemodynamics,Gallbladder Wall Changes and Liver Function

目的:通过彩超观察肝脏血流动力学变化、胆囊壁变化以及肝功能情况。方法:选取本院2015年12月-2016年12月收治的180例弥漫性肝病患者,根据肝病的类型分为脂肪肝组、慢性肝炎组、肝硬化组,各60例。并选取60例健康人为正常组以对照。结果:脂肪肝组的重度患者肝动脉RI、门静脉内径以及肝静脉异常频谱与正常组比较,差异均有统计学意义(P<0.05)。慢性肝炎组与肝硬化组的肝动脉RI、门静脉内径、门静脉PR、肝静脉异常频谱以及胆囊壁变化例数与正常组比较,差异均有统计学意义(P<0.05)结论:彩超可以观察出肝脏相关指标的变化趋势,为弥漫性肝病的临床诊断提供一定的指标依据,具有较强的临床应用价值和推广价值。

Objective:To observe hepatic hemodynamic changes,gallbladder wall changes and liver function by color doppler ultrasound.Method:180 patients with diffuse liver disease admitted to our hospital from December 2015 to December 2016 were selected.According to the type of liver disease,they were divided into fatty liver group,chronic hepatitis group and cirrhosis group,60 cases in each group.And 60 healthy people were selected as normal group to control.Result:The hepatic artery RI,portal vein diameter and hepatic vein abnormal spectrum of severe patients in the fatty liver group were compared with the normal group,the differences were statistically significant(P<0.05).The hepatic artery RI,portal vein diameter,portal PR,hepatic vein abnormal spectrum and number of changes in gallbladder wall in the chronic hepatitis group and cirrhosis group were compared with the normal group,the differences were statistically significant(P<0.05).Conclusion:The color Doppler ultrasound can observe the trend of liver various indicators and provide a certain indicator basis for the clinical diagnosis of diffuse liver disease,it has strong clinical application value and promotion value.