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

目的探讨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1.3 cm患者的食管胃底静脉曲张轻度为9例、中度为3例、重度为0例;门静脉主干内径为1.3～1.4 cm患者的食管胃底静脉曲张轻度为2例、中度为5例、重度为3例;门静脉主干内径1.4 cm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0.9 cm患者的食管胃底静脉曲张轻度为9例、中度为2例、重度为0例;门静脉主干内径为0.9～1.0 cm患者的食管胃底静脉曲张轻度为3例、中度为6例、重度为2例;门静脉主干内径1.0 cm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。

Diagnostic effect of color Doppler ultrasound on primary hepatic carcinoma with portal hypertension

Objective To discuss the diagnostic effect of color Doppler ultrasound on primary hepatic carcinoma with portal hypertension.Methods Thirty-two patients with primary hepatic carcinoma and portal hypertension admitted from March 2017 to March 2018 were enrolled as the observation group.32 healthy subjects were selected as the control group.Thirty-two patients with primary hepatic carcinoma and portal hypertension admitted from were enrolled as the observation group at the same time.32 healthy subjects were selected as the control group.All subjects were given color Doppler ultrasonography,and portal vein diameter,splenic vein diameter,portal vein flow,splenic vein flow,portal vein velocity,and splenic vein velocity were observed,and the relationship between portal vein diameter,splenic vein diameter and esophageal and gastric varices were analyzed.Results The portal vein diameter,the splenic vein diameter,the portal vein flow,and the splenic vein flow in the observation group were higher than those in the control group,while the portal vein velocity and splenic vein velocity were lower than in the control group(P<0.05).Among patients with a portal vein diameter of<1.3 cm,9 patients had mild esophagogastric varices,3 had moderate,and 0 had severe.In patients with a portal vein diameter of 1.3-1.4 cm,2 patients had mild esophagogastric varices,5 had moderate,and 3 had severe.In patients with a portal vein diameter of>1.4 cm,2 patients had mild esophagogastric varices,2 had moderate,and 6 had severe.With the increase of the inner diameter of the portal vein,the degree of esophagogastric varices was more serious.In patients with a splenic vein diameter of<0.9 cm,9 patients had mild esophagogastric varices,2 had moderate,and 0 had severe.In patients with a splenic vein diameter of 0.9-1.0 cm,3 patients had mild esophagogastric varices,6 had moderate,and 2 had severe.In patients with a splenic vein diameter of>1.0 cm,1 patients had mild esophagogastric varices,2 had moderate,and 7 had severe.With the increase of the inner diameter of the splenic vein,the degree of esophagogastric varices was more serious.Conclusion Color Doppler ultrasound has high clinical value in primary hepatic carcinoma with portal hypertension,which is helpful for providing an objective basis for disease diagnosis and treatment,and is worthy of application and promotion.