肝动脉与门静脉及腹腔干的血流量之比对肝硬化的诊断价值

摘要

目的：：探讨肝动脉血流量(Qh)与门静脉血流量(Qp)、腹腔干血流量(Qc)之比(Qh/Qp、Qh/Qc)对肝硬化诊断价值。方法：选择临床初诊肝硬化患者92例(肝硬化组)、慢性乙型肝炎(慢乙肝)患者35例(慢乙肝组)、无肝脏疾病健康体检者35例(对照组),采用彩色多普勒超声检测各组肝动脉、门静脉主干及腹腔干的血管内径及血流速度,计算出 Qh、Qp、Qc 及 Qh/Qp、Qh/Qc,并对结果进行统计学分析。结果：肝硬化组 Qh/Qp、Qh/Qc明显低于慢乙肝组、对照组(均P <0.05),慢乙肝组与对照组 Qh/Qp、Qh/Qc比较差异无统计学意义(P>0.05)。结论：Qh/Qp及 Qh/Qc明显降低提示肝硬化存在的可能。%Objective:To evaluate the ratio(Qh/Qp,Qh/Qc)between hepatic artery(HA)blood flow(Qh) and portal venous(PV)blood flow(Qp)and coeliac trunk(CT)blood flow(Qc)in diagnosis of patients with cirrhosis.Methods:92 cases with cirrhosis,35 cases with chronic hepatitis B(CHB),35 cases healthy sub-j ects without liver diseases as control group were enrolled the study.The blood supply situation of HA、PV and CT for three groups were detected by the color doppler ultrasonic diagnostic apparatus.Measure their respective blood vessel diameter (D)and velocity (V),calculate the Qh,Qp and Qc values,and then calcu-late the Qh/Qp and Qh/Qc values.Furthermore analyse the test results by statistical software.Results:The Qh/Qp and Qh/Qc of cirrhosis group were obviously lower than those of CHB group and normal con-trol group(P<0.05),while there were no statistical difference between CHB group and normal control group (P>0.05).Conclusion:Qh/Qp and Qh/Qc decrease obviously may suggest the possibility of cirrho-sis.