| 陈松旺,孟凡荣,陆建平,黄岩,赵美丽.肝短静脉的超声检测及临床价值[J].中国医学影像技术,2007,23(10):1531~1534 |
| 肝短静脉的超声检测及临床价值 |
| Detection of short hepatic vein by ultrasound and its clinical value |
| 投稿时间：2007-03-13 修订日期：2007-08-20 |
| DOI： |
| 中文关键词: 肝短静脉 超声检查,彩色多普勒 肝脏 |
| 英文关键词:Short hepatic vein Ultrasonography, color Doppler Liver |
| 基金项目: |
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| 中文摘要: |
| 目的 研究肝短静脉(SHV)的超声检测方法、超声表现、分布特点及临床价值。方法 依据肝静脉内径将324例患者分为2组(1组:3支肝静脉内径＜10 mm,192例; 2组:至少1支肝静脉内径≥10 mm,132例),应用彩色多普勒超声进行观测,检查并记录肝短静脉的位置、数目、管径、血流频谱。结果 SHV检出率:1组检出SHV 60例,检出率31.25%,测及84支SHV;2组检出SHV 76例,检出率57.58%,测及88支SHV。1支SHV检出率:1组42例,占21.88%;2组64例,占48.48%。2支SHV检出率:1组12例,占6.25%;2组12例,占9.09%。3支SHV检出率:1组6例,占3.13%;2组0例。肝右后静脉检出率:1组18例,检出率9.38%;2组12例,检出率9.09%。尾叶静脉检出率:1组60例,检出率31.25%;2组76例,检出率57.58%。2组肝右静脉、肝中静脉、肝左静脉、下腔静脉内径均非常显著大于1组(P＜0.01),1组与2组肝右后静脉、2组与1组肝尾叶静脉检出率有显著差异(P＜0.01),但1组、2组SHV内径未见明显差异(P＞0.05)。结论 二维结合彩色多普勒超声能提高肝短静脉的显示,为肝肿瘤患者肝叶段切除、肝移植、布-加综合征的治疗及肝淤血的诊断提供参考依据,有助于减少手术风险及并发症的发生。 |
| 英文摘要: |
| Objective To investigate ultrasonic detection method, ultrasonic appearance, distributive features and its clinical value of the short hepatic veins (SHV). Methods According to the diameter of hepatic vein, a total of 324 cases were divided into two groups (group 1: the diameter of three hepatic veins ＜10 mm, 192 cases; group 2: at least the diameter of one hepatic vein ≥10 mm, 132 cases), SHV were detected by ultrasound. The location, numbers, diameter, blood flow spectra of SHV were studied. Results Detection rate of SHV: 84 SHV were discovered in 60 of 192 cases (31.25%) in group 1, and 88 SHV in 76 of 132 cases (57.58%) in group 2. Detection rate of 1 SHV: 42 cases in group 1 (21.88%), and 64 cases in group 2 (48.48%). Detection rate of 2 SHVs: 12 cases in group 1 (6.25%), and 12 cases in group 2 (9.09%). Detection rate of 3 SHVs: 6 cases in group 1 (3.13%), 0 case in group 2 (0%). Detection rate of the right post SHV: 18 cases in group 1 (9.38%), and 12 cases in group 2 (9.09%). Detection rate of SHV of caudate lobe: 60 cases in group 1 (31.25%), and 76 cases in group 2 (57.58%). The diameter of hepatic veins, inferior vena cava in group 1 were obviously larger than that in group 2 (P＜0.01), the display rate of the right post SHV in group 1 was obviously higher than that in group 2 (P＜0.01), and the display rate of SHV of caudate lobe in group 2 was obviously higher than that in group 1 (P＜0.01). There was no difference between the diameters of SHV in group 1 and 2 (P＞0.05). Conclusion SHV could be displayed by 2-dimensional ultrasound with color Doppler ultrasound. Useful information for hepatic lobe resection, liver transplantation, Budd-Chiari syndrome and hepatic gore could be provided by ultrasound, and reduce operative risk and complication. |
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