[摘要] 目的 分析彩色多普勒超聲對肝硬化門脈高壓患者的臨床診斷價值。方法 方便抽選2015年11月—2017年1月該院接收的68例肝硬化門脈高壓患者，將其作實驗組；同時選同期68名健康體檢者，將其作參照組；對2組均行彩色多普勒超聲診斷，比對2組脾靜脈、門靜脈血流動力學、血流量比值改善情況。結果 實驗組脾靜脈內徑值（1.05±0.16）cm，門靜脈內徑值（1.48±0.18）cm，均優(yōu)于參照組（0.81±0.21）、（1.21±0.19）cm，差異有統(tǒng)計學意義（P<0.05）；實驗組血流量比值（0.48±0.08），比參照組（0.27±0.10）高，（P<0.05）；實驗組脾靜脈內徑超過1.0 cm、門靜脈內徑超過1.4 cm患者，重度食管胃底靜脈曲張所占比例43.59%、40.54%，均比低于1.0 cm、低于1.4 cm患者所占比例20.69%、12.90%高，（P<0.05）。結論 臨床對肝硬化門脈高壓患者展開專業(yè)診斷時，予以彩色多普勒超聲診斷，可在準確評估患者脾靜脈、門靜脈血流動力學水平的基礎上，增加血流量比對。
　　[關鍵詞] 彩色多普勒超聲；肝硬化門脈高壓；臨床價值
　　[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742（2018）01（c）-0012-03
　　[Abstract] Objective This paper tries to evaluate the clinical value of color Doppler ultrasonography in the diagnosis of portal hypertension in patients with liver cirrhosis. Methods 68 patients with cirrhotic portal hypertension received from November 2015 to January 2017 were conveient selected as the experimental group. 68 healthy subjects were selected as the control group. All the two groups underwent color Doppler ultrasonography and were observed at the same time. Compared with the two groups， the ratio of splenic vein， portal vein hemodynamics and blood flow improved condition. Results The diameter of the splenic vein （1.05±0.16）cm and the portal vein diameter （1.48±0.18） cm， were significantly higher than those in the control group （0.81±0.21）cm， （1.21±0.19）cm， with significant difference（P<0.05）. The blood flow ratio （0.48±0.08） in the experimental group was higher than that in the control group （0.27±0.10） （P<0.05）. In the experimental group， the diameter of the splenic vein was more than 1.0 cm， the portal vein diameter was more than 1.4 cm， the proportion of varicose veins was 43.59% and 40.54%， respectively， which were lower than 1.0 cm， and the proportion of patients with less than 1.4 cm was 20.69% and 12.90%， respectively（P<0.05）. Conclusion Color Doppler ultrasonography can be used to diagnose the hemodynamics of splenic vein and portal vein in patients with cirrhotic portal hypertension. The blood flow ratio comparison is increased.
　　[Key words] Color Doppler ultrasound； Cirrhosis of the portal hypertension； Clinical value
　　引發(fā)肝硬化門脈高壓疾病的危險因素較多，主要因門靜脈血液嚴重瘀滯，如若門靜脈壓力比常規(guī)值高，就會致使側支循環(huán)開放，從而伴發(fā)各種臨床癥狀，如脾功能亢進、腹水、食管胃底靜脈曲張等，若病情發(fā)展較嚴重，則會伴發(fā)胃底、食管靜脈曲張破裂嚴重出血[1]。臨床對于肝硬化門脈高壓患者，比較常規(guī)的做法就是依靠胃鏡進行檢出，但是該種檢出方法大多數患者難以接受，盡管胃鏡檢查能夠明顯、清晰的發(fā)現靜脈曲張，但也很難準確的預測患者出血的具體部位及出血量所少等。將彩色多普勒超聲應用在門靜脈高壓及肝硬化患者的臨床診斷中，操作方法非常簡單，操作起來較簡便，且創(chuàng)傷非常小，實用性、經濟性較高，患者便于接受。為此，對肝硬化門脈高壓患者展開安全、高效的診斷，對后續(xù)臨床治療工作的開展及預后具有積極作用。為評估彩色多普勒超聲對肝硬化門脈高壓患者的臨床診斷價值，該次研究對象為方便選取2015年11月—2017年1月收治的68例肝硬化門脈高壓患者及68名健康體檢者，現將臨床診斷結果展開如下報道。

相關熱詞搜索：多普勒 肝硬化 超聲 高壓 臨床應用