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肝硬变部分脾栓塞术后门脉血流动力学变化
引用本文:陈海鸥,王芳芳,周素焕,王岩. 肝硬变部分脾栓塞术后门脉血流动力学变化[J]. 中国基层医药, 2004, 11(5): 541-542
作者姓名:陈海鸥  王芳芳  周素焕  王岩
作者单位:110015,沈阳,辽宁省人民医院消化内科
摘    要:目的 评价肝硬变病人行部分脾栓塞术(PSE)前后门脉血流动力学变化。方法 应用多普勒彩超检测22例肝硬变门静脉高压病人经PSE前后门脉系统血流动力学变化。结果 PSE后门脉血流量、脾静脉血流量、肠系膜上静脉血流量及内脏血流量均下降。结论 多普勒彩超测肝硬变病人的门脉血流动力学变化为PSE选择病例及判断疗效提供临床依据,PSE可改善门脉高动力循环状态。

关 键 词:肝硬变 部分脾栓塞术 门脉血流动力学 门静脉高压 多普勒超声检查
修稿时间:2003-12-22

The portal hemodynamic changes in patients with hepotic cirrhosis treated with partial splenic embolization(PSE)
CHEN Haiou,WANG Fangfang,ZHOU Suhuan,et al.. The portal hemodynamic changes in patients with hepotic cirrhosis treated with partial splenic embolization(PSE)[J]. Chinese Journal of Primary Medicine and Pharmacy, 2004, 11(5): 541-542
Authors:CHEN Haiou  WANG Fangfang  ZHOU Suhuan  et al.
Affiliation:CHEN Haiou,WANG Fangfang,ZHOU Suhuan,et al.Liaoning Province People's Hospital,Shenyang,110015,China
Abstract:Objective To evaluate the protal hemodynamic changes in patients with hepatic cirrhosis and hypertension treated with PSE.Methods The portal hemodynamic changes were measured using color Doppler ultrasonography in 22 cases with hepatic cirrhosis and hypertension before and after PSE respectively.Results The quantity of blood flow of the portal vein(PV),splenic vein(SV),superior mesentery vein(SMV) and plussing SV with SMV dropped in 22 cases after PSE(P<0.05).Conclusion Color Doppler ultrasonography measure of the portal hemodynamic changes of patients with hepatic cirrhosis provides clinical bases for both choosing cases for PSE and judging effects of treatment.PSE can improve the state of hyperdynamic circulation of portal veins system.
Keywords:Hepatic cirrhosis Partial splenic embolization Portal hemodynamic change
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