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慢性病毒性肝炎门静脉血流多普勒定量分析与肝组织炎症分级的相关性
引用本文:郑荣琴,姚集鲁,吕明德,周元平,梁欣,卢翠.慢性病毒性肝炎门静脉血流多普勒定量分析与肝组织炎症分级的相关性[J].中国超声医学杂志,1998(9).
作者姓名:郑荣琴  姚集鲁  吕明德  周元平  梁欣  卢翠
作者单位:广州市中山医科大学附属第三医院传染病科,广州市中山医科大学附属第一医院超声科
摘    要:应用多普勒超声评价了103例慢性病毒性肝炎患者及34例正常人门静脉血流动力学改变与肝组织炎症分级的关系。结果显示:门静脉主干直径(PD)及淤血指数(CI)与炎症坏死程度(G)呈显著正相关关系;门静脉最大流速(PVx)及平均流速(PVm)则呈显著负相关关系;而门静脉血流量(PBF)无明显相关关系。作者认为:PD、PVx、PVm及CI可用于评价慢性病毒性肝炎炎症坏死活动度,特别是在鉴别中重度(G3-4)与轻度(G1-2)炎症、正常与G2级病变等方面有较重要意义

关 键 词:病毒性肝炎  多普勒超声  门脉血流动力学

Quantitative Measurement of Portal Hemodynamics in Patients with Chronic Hepatitis:Relation to Liver Histology
Zhang Rongqin,Yao Jilu,Lu Mingde,et al The rd Affiliated Hospital,Sun Yat sen University of Medical Sciences.Quantitative Measurement of Portal Hemodynamics in Patients with Chronic Hepatitis:Relation to Liver Histology[J].Chinese Journal of Ultrasound in Medicine,1998(9).
Authors:Zhang Rongqin  Yao Jilu  Lu Mingde  The rd Affiliated Hospital  Sun Yat sen University of Medical Sciences
Affiliation:Zhang Rongqin,Yao Jilu,Lu Mingde,et al The 3rd Affiliated Hospital,Sun Yat sen University of Medical Sciences 510630
Abstract:Portal hemodynamics was studied by using Doppler ultrasound system in 103 patients with chronic viral hepatitis and 34 normal subjects.The findings were compared with the histological features.Results showed portal vein diameter(PD)and congestive index(CD)were negatively correlated and the maxium and mean velocity of portal blood,(PVx,PVm)were positively correlated to the histological degree of liver inflammation and necrosis.The portal blood flow(PVF)had no relation to the liver histological features.Quantitative measurements of PD,PVx,PVm and CI were useful in evaluating the progress of chronic hepatitis,especially in differentiation of chronic between severe,moderate(G3 4)and mild degree(G1 2)hepatitis.
Keywords:Viral hepatitis  Doppler ultrsonography  Portal hemodynamics  
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