龙源期刊?/p>
http://www.qikan.com.cn
232
例肝淤血声像图分?/p>
作者:王春?/p>
来源:《中国医药科学?/p>
2014
年第
10
?/p>
[
摘要
]
目的
探讨肝淤血二维及彩色多普勒超声表现,为临床治疗右心衰疗效评价提供理
论依据?/p>
方法
回顾
232
例肝淤血患者的声像图进行分析?/p>
结果
232
例淤血性肝脏患者中
97
?/p>
为早期淤血性肝脏,?/p>
41.8%
。声像图表现为肝脏各径线测值均增大,左肝厚?/p>
?.0cm
,右?/p>
最大斜?/p>
?4cm
,肝实质回声稍有减弱,肝静脉内径增宽
1.0cm
左右?/p>
135
例有淤血性肝?/p>
化,?/p>
58.2%
。其?/p>
100
例为
75
岁以上患者,?/p>
74.1%
。声像图表现肝脏测值相应减小,右肝
减小明显,肝表面比较光滑或偶有细结节状突起,肝实质回声增强增多,肝静脉各支显著增
宽、扩张?/p>
232
例患者中,合并腹水患?/p>
49
例,?/p>
21.1%
,合并胸水患?/p>
55
例,?/p>
23.7%
?/p>
合并胸、腹水患?/p>
45
例,?/p>
19.4%
,同时合并有胸水、腹水及心包积液患?/p>
25
例,?/p>
10.8%
?/p>
结论
超声对淤血性肝脏病变的诊断符合率较高,且能与其他肝脏弥漫性病变相鉴别?/p>
对临床治疗方案选择及疗效评价有实用意义?/p>
[
关键?/p>
]
肝淤血;声像图;分?/p>
[
中图分类?/p>
] R575
?/p>
R445.1 [
文献标识?/p>
] B [
文章编号
] 2095-0616
?/p>
2014
?/p>
10-114-03
[Abstract] Objective To study the sonograms of 232 patients with liver congestion. To provide
theoretical basis for clinical effect assessment of right heart failure. Methods Review of 232 patients
with liver blood for analysis. Results 97 patients in 232 were early hemorrhagic liver
?/p>
accounting for
41.8%. Ultrasonographic findings of hepatic each diameter line measurements were increased
?/p>
and
the thickness of the left hepatic acuity was 6.0
㎝,
maximum oblique diameter was 14cm greater
?/p>
the right liver liver parenchyma echo weakened slightly
?/p>
hepatic vein around 1.0cm wide diameter.
With silt hemorrhagic cirrhosis of the liver
?/p>
135 cases
?/p>
58.2%
?/p>
.100 cases of 75 aged patients
?/p>
accounting for 74.1%.Ultrasonographic performance measurements corresponding decreases
?/p>
and
the liver decreased obviously
?/p>
the right liver liver surface was smooth and fine nodular or occasional
bumps
?/p>
hepatic parenchymal echogenicity increased
?/p>
hepatic vein each significant broadening
?/p>
expansion.232 cases of patients
?/p>
49 cases of patients with ascites
?/p>
21.1%
),
merger
?/p>
55 patients
with pleural effusion
?/p>
23.7%
),
merger
?/p>
45 patients with ascites combined pleural effusion
?/p>
accounting for 19.4%
?/p>
at the same time
?/p>
with 25 patients with pleural effusion
?/p>
ascites and
pericardial effusion
?/p>
accounting for 10.8%. Conclusion The diagnostic accordance rate of ultrasound
for liver congestion is higher
?/p>
which can identificat with other liver diffuse disease. It has practical
significance in selection of clinical treatment and curative effect evaluation.
[Key words] Liver blood
?/p>
Ultrasonography
?/p>
Analysis