| 原发性肝癌合并门静脉栓塞患者的肝动脉和门静脉血流变化 |
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| 引用本文： | 何琳,荣川,王美杰. 原发性肝癌合并门静脉栓塞患者的肝动脉和门静脉血流变化[J]. 第三军医大学学报, 2005, 27(23): 2370-2372 |
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| 作者姓名： | 何琳 荣川 王美杰 |
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| 作者单位： | 重庆医科大学第一附属医院超声科,重庆,400016;高新区人民医院,重庆,400052;重庆渝西医院,重庆,400050 |
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| 摘 要： | 目的研究原发性肝癌合并门静脉癌栓时门静脉和肝动脉的超声表现和血流动力学变化.方法应用超声分别研究肝癌合并门静脉癌栓组和对照组门静脉、肝动脉的二维和多普勒超声改变及血流动力学各项指标.结果合并癌栓组较对照组门静脉内径明显增宽,流速降低(P＜0.05);肝动脉显示率和流速明显提高(P＜0.05).结论应用彩超检查获得肝癌合并门静脉癌栓肝内血流的重要指标,对诊断、指导治疗和判断预后有重要意义.
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| 关 键 词： | 原发性肝癌 门静脉癌拴 肝动脉 |
| 文章编号： | 1000-5404(2005)23-2370-03 |
| 收稿时间： | 2005-03-22 |
| 修稿时间： | 2005-07-28 |
Blood flow change in hepatic artery and portal vein for hepatocellular carcinoma with portal vein cancerous thrombosis |
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| HE Lin,RONG Chuan,WANG Mei-jie. Blood flow change in hepatic artery and portal vein for hepatocellular carcinoma with portal vein cancerous thrombosis[J]. Acta Academiae Medicinae Militaris Tertiae, 2005, 27(23): 2370-2372 |
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| Authors: | HE Lin RONG Chuan WANG Mei-jie |
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| Affiliation: | 1.Department of Ultrasound, The First Affiliated Hospital, Chongqing University of Medical Sciences, Chongqing 400016 ; 2. Renmin Hospital of Gaoxin District, Chongqing 400052 ; 3. Chongqing Yuxi Hospital, Chongqing 400050, China |
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| Abstract: | Objective To study the changes of liver blood flow with or without portal vein thrombus (PVTT) in hepatocellular carcinoma. Methods The hepatocellular carcinoma patients with PVTT (n=26) and without PVTT (n=35) were enrolled. The diameter and the velocity of hepatic arterial (HA) and portal vein (PV) were measured with color Doppler flow imaging in all patients. Results In the patients with PVTT, the diameter of PV dilated and the velocity of PV dropped significantly and the velocity of HA rised obviously, as compared with those without PVTT. Conclusion The index of HA and PA is very important to guide the therapy of hepatocellular carcinoma. |
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| Keywords: | hepatocellular carcinoma portal vein cancerous thrombosis hepatic artery |
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