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回顾性分析临床诊断肝硬化门脉高压症患者91例的B超检查结果,对门脉高压症的B超诊断标准进行了探讨,本组资料表明,PV、SV、SV分、SV内分分别≥1.3,0.7,0.5和0.3cm的标准更为适宜;用PV、SV、SV分、SV内分或用SV、SV分、SV内分或用PV、SV、SV分同时扩张之标准诊断门脉高压症,其准确性将显著提高。B超诊断的准确性为95.6％,高于食管吞钡,低于胃镜和低张双对比食管钡餐检查。门脉高压合并大量腹水或上消化道出血时,其PV、SV及其分支有不同程度的缩小(1～2mm),甚至正常,但结合肝脾的超声发现仍有助于鉴别诊断。在肝硬化合并肝癌的患者中可检测到PV内栓子。
A retrospective analysis of 91 cases of clinical diagnosis of cirrhosis and portal hypertension in patients with B-ultrasound examination of the diagnosis of portal hypertension B-ultrasound diagnostic criteria were discussed in this group, PV, SV, SV points, SV points were 1.3, 0.7, 0.5 and 0.3cm standard more appropriate; with PV, SV, SV points, SV points or with SV, SV points, SV points or with PV, SV, SV points at the same time the expansion of the standard diagnostic door Pulse hypertension, its accuracy will be significantly improved. The diagnostic accuracy of B-ultrasound was 95.6%, higher than esophageal barium, lower than endoscopy and low contrast double esophageal barium meal examination. Portal hypertension combined with large amounts of ascites or upper gastrointestinal bleeding, the PV, SV and its branches have varying degrees of reduction (1 ~ 2mm), or even normal, but combined with the discovery of liver and spleen ultrasound still contribute to the differential diagnosis. PV within the emboli can be detected in patients with cirrhosis and liver cancer.