赵鸿鹄,郝晓云.胆囊切除术后综合征CDFI的探讨[J].中国医学影像技术,2008,24(s1):119~121
胆囊切除术后综合征CDFI的探讨
Color Dopper evaluation of postcholecystectomy syndrom
投稿时间:2008-03-28  修订日期:2008-08-06
DOI:
中文关键词:  胆囊切除术后综合征  肝动脉  血流动力学
英文关键词:Postcholecystectomy syndrom  Hepatic artery  Hemodynamics
基金项目:
作者单位E-mail
赵鸿鹄 山西煤炭中心医院超声科,山西 太原 030006 zhaohonghu-2008@163.com 
郝晓云 山西医科大学第一医院超声科,山西 太原 030001  
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中文摘要:
      目的 观察胆囊切除术后综合征与肝动脉血流动力学改变状况的关系,探讨其相关的原因及其意义。方法 彩色多普勒血流显像对94例胆囊切除术后综合征患者胆道系统及肝动脉进行检测。检测指标:胆总管内径(CBD)、肝动脉最大流速(Vmax)、血流阻力指数(RI)。结果 临床症状轻微、肝及胆管正常者肝动脉最大流速、阻力指数无明显变化,而症状明显、胆管扩张及感染或伴结石者肝动脉阻力指数增加,较胆管正常者存在显著统计学差异(P<0.05)。
英文摘要:
      Objective To observe the hemodynamics of the hepatic artery in postcholecystectomy syndrom (PCS) and to elucidate the related factor and its significance. Methods Ninty-four patients with postcholecystectomy syndrom (PCS) were studied. Dopper measurements including Vmax and RI of hepatic artery were obtained and inner diameter of CBD was also obtained from biliary system. Results Vmax and RI of hepatic artery did not have marked changes in the group of normal hepatic and biliary duct, in which clinical symptom were light, but RI of hepatic artery was increase in the group of cholangiectasis and obvious infection in comparison with the normal biliary duct. Conclusion Hepatic artery RI reflects the change in severe infection and cholangiectasis. It can be used as an important parameter in the assessment of PCS.
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