The clinical value of color Doppler ultrasound in diagnosis of liver cirrhosis

ZHANG Heng; ZHOU Shicong; LI Jianhua

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The clinical value of color Doppler ultrasound in diagnosis of liver cirrhosis

更新时间：2025-12-15

- The clinical value of color Doppler ultrasound in diagnosis of liver cirrhosis
- Vol. 24, Issue 4, Pages: 292-294(2015)
- 作者机构：
  
  1. 泰州市第四人民医院超声科,江苏,泰州,225300
  2. 复旦大学附属肿瘤医院超声科，复旦大学上海医学院肿瘤学系,上海,200032
- 作者简介：
- 基金信息：
- DOI：
  CLC：
- Published Online：19 January 2016，
  
  Published：19 January 2016
- 稿件说明：
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张恒,周世崇,李建华. 彩色多普勒超声在诊断肝硬化中的临床价值[J]. 肿瘤影像学, 2015, 24(4): 292-294
DOI：

张恒,周世崇,李建华. 彩色多普勒超声在诊断肝硬化中的临床价值[J]. 肿瘤影像学, 2015, 24(4): 292-294 DOI：

摘要

目的：

探讨彩色多普勒超声在诊断肝硬化中的临床价值。

方法：

选取于2009年1月2014年2月来泰州市第四人民医院诊断的肝硬化患者35例作为观察组，选择同期诊断的35例健康人作为对照组。观察比较两组患者的门静脉管径、血流情况，同时观察肝硬化患者的肝脏轮廓、肝实质光点、脾脏大小及有无腹腔积液。

结果：

观察组的血流流速峰值、平均速度及门静脉管径分别为(12.352.31) cm/s、(10.242.13) cm/s、(1.650.53) cm，对照组分别为(18.974.35) cm/s、(17.454.78) cm/s、(1.020.25) cm，差异均有统计学意义(

0.05)。多数肝硬化患者出现肝脏轮廓锯齿状变化、肝实质光点增粗、脾大、腹腔积液、胆囊壁增厚等症状。

结论：

彩色多普勒超声诊断肝硬化，可清晰显示肝脏血流动力学变化及门静脉管径，为临床诊断和治疗提供有效依据。

Abstract

Objective:

To investigate the value of color Doppler ultrasound in diagnosis of liver cirrhosis.

Methods:

A total of 35 cases with liver cirrhosis in Taizhou Fourth Peoples Hospital selected from January 2009 to February 2014 were enrolled in the observation group. At the same time

another 35 cases without liver cirrhosis were set as controls. The portal vein diameter and blood flow were recorded and compared between the two groups. The liver contour

liver parenchyma echo spot

spleen size

and ascites in the observation group were analyzed.

Results:

The peak systolic velocity

average velocity and portal vein diameter were (12.352.31) cm/s

(10.242.13) cm/s

(1.650.53) cm i

n the observation group respectively

and (18.974.35) cm/s

(17.454.78) cm/s

(1.020.25) cm in the control group respectively. The differences were statistically significant (

0.05). Serrated changes of liver contour

enlargement of liver parenchyma echo spots

splenomegaly

ascites

and gallbladder wall thickening appeared in most cases with liver cirrhosis.

Conclusion:

Color Doppler ultrasound can clearly show the changes of hemodynamics of liver and portal vein diameter

providing effective data for the clinical diagnosis and treatment of liver cirrhosis.

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