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目的采用彩色超声多普勒技术,测定肝硬化门静脉高压症门静脉系统的相关血流动力学参数指标,指导肝硬化门脉高压患者的治疗。方法选择2015年1月至2016年3月在本院就诊的肝硬化患者128例,脂肪肝病例150例,正常对照组50例。用超声作为诊断工具检测门静脉脾静脉血流情况,探讨肝硬化患者门静脉系统血流动力学变化。结果不同程度的肝硬化患者及脂肪肝患者门静脉及脾静脉血流速度、血管直径以及血流量有差异。结论采用超声测量肝硬化患者门脉系统血流动力学变化,在一定程度上能够反映门脉的压力变化,可指导治疗方案的选择。
Objective To determine the parameters of hemodynamics in the portal system of patients with cirrhosis and portal hypertension by color Doppler ultrasound and to guide the treatment of patients with cirrhosis and portal hypertension. Methods From January 2015 to March 2016, 128 cases of cirrhosis, 150 cases of fatty liver disease and 50 cases of normal control group were enrolled in our hospital. Ultrasound as a diagnostic tool to detect portal vein splenic vein blood flow in patients with cirrhosis of portal vein hemodynamic changes. Results Different degrees of portal vein and splenic vein blood flow velocity, blood vessel diameter and blood flow in patients with cirrhosis and fatty liver were different. Conclusion Ultrasound measurement of portal hemodynamics in patients with cirrhosis, to some extent, can reflect the changes in portal pressure can guide the choice of treatment options.