摘要
目的:研究腹部超声诊断方案应用在肝硬化门静脉高压诊断中的效果。方法:本文选择的研究对象为2017年8月~2018年11月本院收治的门静脉高压患者100例作为研究对象,对所有研究对象均进行腹部超声检验,并对所有患者的临床检验结果与胃镜检验结果进行比较采集,选择同期进行腹部超声检查的100例健康体检者的临床资料作为对照组,比较对照组和门静脉高压患者门静脉主干内径和脾静脉内径等相关状况。结果:经过食管胃底静脉曲张分级,可将患者分为0级、轻度、中度和重度等4个等级,其中0级患者14例,轻度患者31例,中度患者24例,重度患者31例,患者食管胃底静脉曲张的发生率为86.00%;本文结果显示肝硬化门静脉高压患者门静脉主干内径和脾静脉内径通过腹部超声检验得出相关值均比对照组高,P<0.05,差异存在统计学意义;对胃镜和腹部超声检验结果进行比较能够得出,随着食管胃底静脉曲张程度的增加,脾脏会有增厚的表现,脾静脉也会出现内径增宽,门静脉主干内径增宽,腹部超声检验结果和胃镜检验结果之间具有较好的相符性,P>0.05,差异不存在统计学意义。结论:临床可以通过腹部超声对患者的肝硬化门静脉高压病症加以诊断和评估,对指导患者临床治疗工作具有显著的价值。
Objective:To study the effect of abdominal ultrasound diagnosis scheme in the diagnosis of portal hypertension in cirrhosis.Methods:A total of 100 patients with portal hypertension treated in our hospital from August 2017 to November 2018 were selected as the research objects.Abdominal ultrasound examination was performed on all subjects,and the clinical examination results and gastroscopy of all patients were performed.Results:The data were collected and compared.The clinical data of 100 healthy people who underwent abdominal ultrasound examinations were taken as the control group,and the relative conditions of the inner diameter of the main portal vein and the inner diameter of the splenic vein of patients with portal hypertension were compared.Results After esophageal gastric fundus varices classification,patients could be divided into 4 grades of 0,mild,moderate and severe,including 14 cases of grade 0 patients,31 cases of mild patients,24 cases of moderate patients,and severe patients.In 31 cases,the incidence of esophageal and gastric varicose veins was 86.00%.The results in this article show that the internal diameter of the portal vein trunk and the internal diameter of the splenic vein in patients with portal hypertension of liver cirrhosis are higher than those in the control group by abdominal ultrasound,P<0.05,the difference There is statistical significance;comparing the results of gastroscopy and abdominal ultrasound examination,it can be concluded that as the degree of esophageal gastric fundus varices increases,the spleen will thicken,the inner diameter of the splenic vein will widen,and the inner diameter of the portal vein will increase.Wide,there is a good agreement between the results of abdominal ultrasound and gastroscopy,P>0.05,and the difference is statistically significant.Conclusion:Clinical diagnosis and evaluation of portal hypertension in patients with liver cirrhosis can be performed by abdominal ultrasound.It has significant value in guiding patients’clinical treatment and is wort
作者
尹洪波
YIN Hong-bo(Mental Health Center of Tiexi District,Shenyang City,Liaoning Province,Liaoning Shenyang 110142)
出处
《中国医疗器械信息》
2020年第6期168-170,共3页
China Medical Device Information
关键词
腹部超声
肝硬化患者
门静脉高压
abdominal ultrasound
liver cirrhosis
portal hypertension
