正确门静脉测量对于超声诊断门脉高压型肝硬化影响.docVIP

正确门静脉测量对于超声诊断门脉高压型肝硬化影响 　　[摘要]目的 本院在过去的几年中因门静脉的测量误差造成正常人群的误诊为肝硬化或肝硬化患者的漏诊，所以我们对于门静脉测量进行了研究。 方法 经筛选在本院就诊的肝功化验异常的，经过CT、MR确诊以及临床其他检查均确诊的为肝硬化患者60例，分别进行不同位置测量门静脉的内径、血流方向、血流速度（门静脉内径13 mm。血流速度15 cm/s为标准）进行对比研究分析。 结果 在门静脉主干不同的位置测量得到的结果不同，导致诊断结果不同。 结论 可疑门静脉内径增宽或血流速度减低时，要在门静脉主干不同的位置测量，在不同位置测量内径数值和流速数值，取平均值，另外测量中来源于操作者产生的误差很关键，要尽量避免这一点。 　　[关键词] 肝硬化；门静脉内径测量；血流速度；血流方向 　　[中图分类号] R575.2 [文献标识码] B [文章编号] 2095-0616（2013）14-97-02 　　Effect of correct measurement of portal vein for ultrasonic diagnosis of liver cirrhosis with portal hypertension 　　YAO Min 　　Department of Ultrasound，Urumqi Friendship Hospital，Urumqi 830049，China 　　[Abstract] Objective To study the measurement of portal vein due to measurement errors of portal vein had caused the misdiagnosis of liver cirrhosis in normal population and missed diagnosis of patients with liver cirrhosis in our hospital in the past few years. Methods Different position measurement of the inner diameter，direction of blood flow and blood flow rate of portal vein（it was as the standard that inner diameter of portal vein was over than 13mm and blood flow rate was lower than 15 cm/s） in 60 cases with liver cirrhosis had abnormal liver function and diagnosed by CT，MR and clinical other tests in our hospital were compared and analyzed. Results The measurement results of portal vein at different locations were different，so it led to different diagnostic results. Conclusion When suspicious inner diameter of portal vein broadens or blood flow rate reduces，different position measurement of portal vein are necessary，and the averages are taken while measuring inner diameter and velocity at different locations. Moreover，in the measurement the error caused by the operator is very essential and must be avoided as far as possible. 　　[Key words] Liver cirrhosis；Measurement of inner diameter of portal vein；Blood flow rate；Direction of blood flow 　　应用超声诊断肝硬化已是临床首选的诊断方法，它快捷，方便，安全、符合率高。但由于各个医院诊断中的门静脉规范性测量以及诊断医师的技术差异，经常造成误漏诊，以至于给临床治疗带来许多错误引导，甚至引起医患纠纷。所以