彩色多普勒超声对原发性肝癌合并门静脉高压的临床诊断效果分析.docx

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彩色多普勒超声对原发性肝癌合并门静脉高压的临床诊断效果分析

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施红卫李刚王世叶冠雄

[摘要]目的探討彩色多普勒超声对原发性肝癌合并门静脉高压的临床诊断效果。方法选取2017年3月～2018年3月收治的研究对象为32例原发性肝癌合并门静脉高压患者设为观察组，同期选择32例健康体检人员作为研究对象设为对照组，均选择彩色多普勒超声检查，且观察门静脉主干内径、脾静脉内径、门静脉流量、脾静脉流量、门静脉流速、脾静脉流速及分析门静脉主干内径、脾静脉内径与食管胃底静脉曲张关系。结果观察组门静脉主干内径、脾静脉内径、门静脉流量、脾静脉流量均高于对照组，而门静脉流速、脾静脉流速则低于对照组（P0.05）。门静脉主干内径1.4cm患者的食管胃底静脉曲张轻度为2例、中度为2例、重度为6例;随着门静脉主干内径的增加食管胃底静脉曲张程度越严重。脾静脉内径1.0cm患者的食管胃底静脉曲张轻度为1例、中度为2例、重度为7例;随着脾静脉内径的增加食管胃底静脉曲张程度越严重。结论彩色多普勒超声用于原发性肝癌合并门静脉高压中具有较高的临床价值，有利于为疾病诊断及治疗提供客观依据，值得应用及推广。

[关键词]彩色多普勒超声;原发性肝癌;门静脉高压;临床诊断

[]R735.7?????[]B?????[]1673-9701（2019）11-0133-03

DiagnosticeffectofcolorDopplerultrasoundonprimaryhepaticcarcinomawithportalhypertension

SHIHongwei1??LIGang1??WANGShi2??YEGuanxiong2

1.DepartmentofUltrasound，LishuiPeoplesHospitalinZhejiangProvince，Lishui??323000，China;2.DepartmentofGeneralSurgery，LishuiPeoplesHospitalinZhejiangProvince，Lishui??323000，China

[Abstract]ObjectiveTodiscussthediagnosticeffectofcolorDopplerultrasoundonprimaryhepaticcarcinomawithportalhypertension.MethodsThirty-twopatientswithprimaryhepaticcarcinomaandportalhypertensionadmittedfromMarch2017toMarch2018wereenrolledastheobservationgroup.32healthysubjectswereselectedasthecontrolgroup.Thirty-twopatientswithprimaryhepaticcarcinomaandportalhypertensionadmittedfromwereenrolledastheobservationgroupatthesametime.32healthysubjectswereselectedasthecontrolgroup.AllsubjectsweregivencolorDopplerultrasonography，andportalveindiameter，splenicveindiameter，portalveinflow，splenicveinflow，portalveinvelocity，andsplenicveinvelocitywereobserved，andtherelationshipbetweenportalveindiameter，splenicveindiameterandesophagealandgastricvariceswereanalyzed.ResultsTheportalveindiameter，thesplenicveindiameter，theportalveinflow，andthesplenicveinflowintheobservationgroupwerehigherthanthosein