摘要
探讨彩色多普勒血流显像(CDFI)门静脉右支血流速度及肝右静脉多普勒波形诊断脂肪肝的临床价值。通过CDFI对2 80例脂肪肝的门静脉右支血流速度测定,观察其肝右静脉多普勒波形,并与4 5例正常肝组进行对比分析。结果发现,脂肪肝组的门静脉右支血流速度比正常明显降低,两组间比较有显著性差异(P <0 .0 5 )。脂肪肝患者的肝右静脉多普勒波形出现三种不同类型,其异常波形共占76 % ;而4 5例健康者肝右静脉多普勒形均为三相波形。脂肪肝组与正常组比较,肝右静脉多普勒频谱异常有显著性差异(P <0 .0 5 )。肝门静脉血流速度变化及肝右静脉多普勒频谱图异常有助于脂肪肝的早期诊断及预后判断。
To investigate the diagnosti c value of measuring blood velocity in right branch of portal vein and Doppler s onographic waveforms in right hepatic vein by CDFI on Fatty Liver Disease.We obs erved 280 patients with fatty liver disease with Two-dimensional echocardiograph y,and measured the blood velocity of right branch of portal vein in those patien ts.We performed color Doppler sonographic of the right hepatic vein in the patie nts with fatty liver.It was compared with 45 control subjects.The blood velocity of right branch of portal vein was marked lower than that of normal subjects,a significant difference was noted between the blood velocity of the patients with fatty liver disease and control group (P<0.05).The waveforms of the hepat ic veins in the patients with fatty liver were categorized as three types,and 21 3 cases of abnormal waveforms occupied 76%(213/280).while compared with 45 cases of normal subjects,there was significant difference (P<0.05) in Doppler s onographic wavforms in right hepatic vein between the two groups.The variance of blood velocioty of portal vein and abnormal waveforms in the right hepatic vein may be useful for the diagnosis of early fatty liver disease,and especially hel pful to the prognostic judgement of fatty liver disease.
出处
《临床肝胆病杂志》
CAS
2005年第2期106-107,共2页
Journal of Clinical Hepatology
