Relationship between portal vein pressure and Fibro Scan score in cirrhotic patients with concomitant portal hypertension
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摘要: 目的探讨应用彩色多普勒超声显像仪以及瞬时弹性成像(Fibro Scan)观察和分析肝硬化患者门静脉压力与Fibro Scan之间的关系。方法选择2012年3月-2014年3月中山市第二人民医院收治的乙型肝炎肝硬化门静脉高压患者235例,另选健康人100例作为对照,使用彩色超声多普勒显像仪检测门静脉宽度(PVD)、门静脉平均血流速度(PVVmean)、门静脉血流量(PVQ),利用公式门静脉压力(Ppv)=1.895 1+0.001 1PVQ估算出Ppv。同时进行Fibro Scan检测。计量资料以均数±标准差(x±s)表示,组间比较采用t检验,各参数与Ppv关系采用双变量相关分析。结果肝硬化门静脉高压患者PVD、PVQ、Ppv和Fioro Scan值分别为(1.42±0.12)cm、(1238±145.23)ml/min、(3.28±0.17)k Pa和(27.81±7.52)k Pa,明显高于正常对照组(P值均<0.05),Fibro Scan值和PVQ与肝硬化患者Ppv呈正相关,相关系数r分别为0.52、0.61,P值均<0.001。结论 Fibro Scan测值可作为无...
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关键词:
- 肝硬化 /
- 高血压,门静脉 /
- 食管和胃静脉曲张 /
- 超声检查,多普勒,彩色 /
- 弹性成像技术
Abstract: Objective To analyze the relationship between portal vein pressure and Fibro Scan score in patients with liver cirrhosis using color Doppler ultrasonography and transient elastography( Fibro Scan). Methods Totally 235 patients with liver cirrhosis were selected from the Second People's Hospital of Zhongshan,Guangdong Province,China,from March 2012 to March 2014,with 100 healthy individuals as controls. Color Doppler ultrasonography was performed to measure the portal vein diameter( PVD),mean portal vein velocity( PVVmean),and blood flow quantity of portal vein( PVQ). Portal vein pressure( Ppv) was calculated from the equation of Ppv = 1. 895 1 + 0. 001 1PVQ.Fibro Scan was also performed. Continuous data were expressed as the mean ± standard deviation. Group comparisons were performed by t test. The relationship between test parameters and Ppv was examined by correlation analysis. Results The PVD,PVQ,PVVmean,Ppv,and Fibro Scan score of cirrhotic patients with concomitant portal hypertension were 1. 42 ± 0. 12 cm,1238 ± 145. 23 ml / min,13. 25 ± 1. 56 cm / s,3. 28 ± 0. 17 k Pa,and 27. 81 ± 7. 52 k Pa,respectively,all of which were significantly higher than those in the control group( P <0. 05). Fibro Scan score and PVQ were positively correlated with Ppv in cirrhotic patients( r = 0. 52,P < 0. 001; r = 0. 61,P < 0. 001).Conclusion Fibro Scan score can be used as a reference indicator for noninvasive evaluation of portal hypertension.
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