| 脉冲多普勒对原发性肝癌肝动脉及门脉静血流的定量测定 |
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| 引用本文： | 张梅,钱蕴秋,王金华.脉冲多普勒对原发性肝癌肝动脉及门脉静血流的定量测定[J].中国超声医学杂志,1992(5). |
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| 作者姓名： | 张梅 钱蕴秋 王金华 |
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| 作者单位： | 北京军区总医院超声室
(张梅)，第四军医大学第一附属医院
(钱蕴秋)，第四军医大学第一附属医院(王金华) |
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| 摘 要： | 本文应用脉冲多普勒对36例原发性肝癌、16例肝内良性占位性病变及13例晚期肝硬化的肝总动脉(CHA)、肝固有动脉(PHA)、及门静脉的血流做定量测定,并用34例正常人做对照。正常人CHA血流量为277±148ml/min,PHA血流量为182±101ml/min。原发性肝癌CHA血流量为1114±480ml/min,PHA血流量为850±504ml/min,明显高于正常人组(P<0.0001),亦明显高于各组(P<0.0001),而门静脉血流量仅稍高于正常人组,和肝硬化组无明显差别。故肝动脉血流的测定对肝内占位性病变良恶性的鉴别有重要意义,其灵敏度为71.4％(CHA血流量指标)及64.2％(PHA血流量为指标),特异度为100％,准确度为79.5％及74.3％。
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| 关 键 词： | 原发性肝癌 肝动脉血流 多普勒超声 |
Quantitative Measurement of Hepatic Arterial and Portal Venous Blood Flow by Plused Doppler in Patients with Primary Liver Cancer |
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| Zhang Mei,et al First Affiliated Hospital,Fourth Military Medical University.Quantitative Measurement of Hepatic Arterial and Portal Venous Blood Flow by Plused Doppler in Patients with Primary Liver Cancer[J].Chinese Journal of Ultrasound in Medicine,1992(5). |
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| Authors: | Zhang Mei First Affiliated Hospital Fourth Military Medical University |
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| Abstract: | The common hepatic artery(CHA), proper hepatic artery(PHA) and portal venous(PV blood flow were measured by pulsed Doppler in 34 cases of health subjects, 36 patients of primary liver cancer, 16 cases of benign space-occupying lesions and 13 cases of liver cirrhosis. The CHA and PHA blood flow of primary liver cancer are higher than that of normal subjects and liver benign space occupying lesion (p<0.0001). The measurement of HA blood flow is very significant in differetal diagnosis of primary liver cancer from benign space-occupying lesions. |
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| Keywords: | Primary liver cancer Hepatic arterial blood flow Doppler ultrasonography |
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