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目的:探讨腹部B超在肝癌门脉高压中的临床应用价值,旨在为肝癌门静脉高压的临床诊断提供指导。方法:回顾性分析2012年1月至2013年12月某三甲医院肝胆外科收治的128例经病理手术确诊为肝癌门静脉高压患者的临床资料。结果:胃镜检查发现128例患者中有102例(79.69%)发生食管胃底静脉曲张,其中轻度38例,中度40例,重度44例。腹部超声诊断发现:门静脉主干增宽84例(65.62%)、脾静脉内径增宽82例(64.06%)。结论:腹部B超能有效评价肝癌门静脉高压病变情况,可为门静脉高压患者术前诊断提供指导。
Objective: To investigate the clinical value of abdominal ultrasound in the diagnosis of portal hypertension in hepatocellular carcinoma (HCC). The purpose is to provide guidance for the clinical diagnosis of portal hypertension of liver cancer. Methods: The clinical data of 128 patients diagnosed as HCC with portal hypertension by pathology were retrospectively analyzed from January 2012 to December 2013 in the hepatobiliary surgery department. Results: Gastroscopy revealed that 102 of 128 patients (79.69%) had esophagogastric varices, of which 38 were mild, 40 were moderate, and 44 were severe. Ultrasound diagnosis of the abdomen revealed that 84 cases (65.62%) enlarged the main trunk of the portal vein and 82 cases (64.06%) enlarged the diameter of the splenic vein. Conclusion: Abdominal B-ultrasonography can effectively evaluate the incidence of portal hypertension in patients with hepatocellular carcinoma and provide guidance for the preoperative diagnosis of portal hypertension.