| 李陶,史洪涛,熊秀琴,胡辂.非酒精性脂肪肝患者肝静脉血流多普勒频谱形态的观测[J].中国医学影像技术,2006,22(2):266~268 |
| 非酒精性脂肪肝患者肝静脉血流多普勒频谱形态的观测 |
| Doppler waveforms of hepatic vein in patients with non-alcoholic fatty liver |
| 投稿时间：2005-09-09 修订日期：2005-11-13 |
| DOI： |
| 中文关键词: 超声检查,多普勒 肝静脉 脂肪肝 |
| 英文关键词:Ult rasonography , Doppler Hepatic vein Fatty liver |
| 基金项目: |
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| 中文摘要: |
| 目的 观测非酒精性脂肪肝肝静脉血流频谱形态的变化情况。方法 多普勒超声检测病例组138 例非酒精性脂肪肝患者(弥漫性脂肪肝97 例,局灶性脂肪肝41 例) 与对照组91 例正常人肝静脉多普勒频谱。病例组所有患者均经超声检查及CT 检查诊断脂肪肝,血脂增高,无长期大量饮酒史。对照组经超声及CT 检查诊断无脂肪肝,血脂正常。根据多普勒频谱特点将肝静脉波形分为正常型、衰减型、平坦型。结果 病例组异常肝静脉波形(衰减型与平坦型) 所占比例(59 %) 较对照组(7 %) 显著增加,差异有显著性意义( P < 0. 05) ,异常肝静脉波形中衰减型(59 %) 与平坦型(41 %) 所占比例差异无显著性意义( P > 0. 05) 。弥漫性脂肪肝异常肝静脉波形比例(69 %) 高于局灶性脂肪肝(37 %) ,差异有显著性意义( P< 0. 05) 。结论 脂肪肝患者肝静脉血流频谱可出现异常衰减型、异常平坦型,对脂肪肝肝血流动力学的进一步研究有助于提高对此疾病的诊断、治疗。 |
| 英文摘要: |
| Objective To observe changes of hepatic vein Doppler waveforms in patients with non-alcoholic fatty liver.Methods Doppler waveforms of hepatic vein in 138 patient s with non-alcoholic fatty liver (97 patient s with diffuse fatty liverand 41 patient s with focal fatty liver) and 91 normal healthy adult s were studied ret rospectively , all patient shad hyperlipi-demia , no history of alcohol drinking and confirmed by US and CT while the subject in cont rol group had normal level in ser-um lipid. The waveforms of hepatic vein were classified into three patterns : normal , damped , and flatted. Results The pro-portion of abnormal Doppler waveforms in patients with fatty liver (59 %) were significant higher than those in cont rol group(7 %) ( P < 0. 05) , and significant higher in diffuse fatty liver (69 %) group than those focal fatty liver (37 %) ( P < 0. 05) .There were no differences between damped (59 %) and flatted (41 %) ( P > 0. 05) . Conclusion The Doppler waveforms pat-tern of hepatic vein in patient s with fatty liver had high incidence of abnormal including damped or flatted. |
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