彩色多普勒超声检测急性病毒性肝炎患者肝胆系统变化临床意义.docVIP

彩色多普勒超声检测急性病毒性肝炎患者肝胆系统变化临床意义 　　摘要：目的 探讨彩色多普勒超声检测技术对急性病毒性肝炎患者的诊断价值，及对肝胆系统变化意义。方法 随机选取48例急性病毒性肝炎患者作为观察组，另选48例同期体检的健康受检者作为对照组。两组患者均行彩色多普勒超声检查。比较对照组与观察组胆囊图像及脾脏厚度的变化，以及门静脉、脾静脉、肠系膜上静脉的内径和流速。结果 ①经比较，观察组患者脾脏和胆囊厚度明显大于对照组，胆囊长径和厚径明显小于对照组，表明观察组患者胆囊小于对照组，但厚度显著增大。②观察组门静脉、脾静脉、肠系膜上静脉的血流速度均显著低于对照组，P0.05。结论 彩色多普勒超声检测技术对急性病毒性肝炎患者具有重要的诊断价值，值得临床推广应用。 　　关键词：彩色多普勒超声；急性病毒性肝炎；肝胆系统 　　Clinical Significance of Color Doppler Ultrasonography in Detecting the Changes of Hepatic and Biliary System in Patients with Acute Viral Hepatitis 　　ZHANG Yuan-yuan 　　（Rudong County Peoples Hospital，Rudong 210029，Jiangsu，China） 　　Abstract：Objective To investigate the diagnostic value of color Doppler ultrasound on patients with acute viral hepatitis，and the change of the meaning of hepatobiliary system.Methods Randomly selected 48 cases of acute viral hepatitis patients as the observation group，select 48 cases of physical examinees health subjects as control group.Two groups of patients were examined by color Doppler ultrasound.Comparison of changes in the control group and the observation group of gallbladder image and spleen thickness，and portal vein，splenic vein，superior mesenteric vein diameter and blood flow.Results ①compared with the patients in the observationgroup，spleen and gallbladder thickness was significantly higher than the control group，gallbladder diameter and thickness significantly less than the control group，the observation group showed that patients with gallbladder than the control group，but the thickness increased significantly.②the observation group bloodflow velocity of portal vein and splenic vein and superior mesenteric vein were significantly lower than the control group，the comparison between groups had statistically significant difference，P0.05.Conclusion Has an important diagnostic value for the patients with acute viral hepatitis technique of color Doppler ultrasound，it is worthy of clinical application 　　Key words：Color Doppler ultrasound；acute viral hepatitis；hepatobili