高级动态血流成像技术与彩色多普勒成像技术对经颈静脉肝内门体分流术后支架通畅性的评估价值比较

郭丹丹; 唐少珊

doi:10.3969/j.issn.1001-5256.2018.12.018

高级动态血流成像技术与彩色多普勒成像技术对经颈静脉肝内门体分流术后支架通畅性的评估价值比较

DOI: 10.3969/j.issn.1001-5256.2018.12.018

中国医科大学附属盛京医院超声科

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中图分类号: R445.1;R657.3
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出版历程
- 出版日期: 2018-12-20

Value of advanced dynamic flow versus color Doppler flow imaging in evaluating stent patency after transjugular intrahepatic portosystemic shunt

摘要

摘要: 目的对比分析高级动态血流成像技术（ADF）与彩色多普勒成像技术（CDFI）对经颈静脉肝内门体分流术（TIPS）术后患者支架通畅性的评估价值。方法选取2016年9月-2018年5月于中国医科大学附属盛京医院接受超声ADF与CDFI两种技术以及超声造影（CEUS）检查的60例TIPS术后患者,根据ADF、CDFI和CEUS显示结果对TIPS支架血流通畅性进行分级,其中以CEUS结果为金标准,用Kappa检验分别对ADF与CEUS结果、CDFI与CEUS结果进行一致性检验,并用Z检验对Kappa值进行假设检验。结果 ADF对TIPS术后患者支架通畅性的分级结果与CEUS的一致性程度为极强（Kappa=0. 902,P <0. 05）,CDFI对TIPS术后患者支架通畅性的分级结果与CEUS的一致性程度为中度（Kappa=0. 423,P <0. 05）,经Z检验,P <0. 05,差异有统计学意义。结论相较于CDFI,ADF对评价TIPS术后支架通畅性的价值更高,具有一定的临床意义。
- 肝硬化 /
- 门体分流术,经颈静脉肝内 /
- 超声检查 /
- 支架
Abstract: Objective To investigate the value of advanced dynamic flow (ADF) versus color Doppler flow imaging (CDFI) in evaluating stent patency after transjugular intrahepatic portosystemic shunt (TIPS) . Methods A total of 60 post-TIPS patients who underwent ADF, CDFI, and contrast-enhanced ultrasound (CEUS) in Shengjing Hospital of China Medical University from September 2016 to May 2018 were enrolled. The grade of the patency of TIPS stent was evaluated according to the results of ADF, CDFI, and CEUS. With the results of CEUS as the gold standard, the Kappa test was used to examine the consistency between ADF and CEUS results, as well as between CDFI and CEUS results, the Z test was used as the hypothesis testing of kappa value. Results There was extremely strong consistency between ADF and CEUS in evaluating stent patency after TIPS (Kappa = 0. 902, P < 0. 05) , while there was moderate consistency between CDFI and CEUS in evaluating stent patency after TIPS (Kappa = 0. 423, P < 0. 05) . The Z test found that the difference was statistically significant (P < 0. 05) .Conclusion Compared with CDFI, ADF has a higher value in evaluating stent patency after TIPS and has certain clinical significance.
- liver cirrhosis /
- portasystemic shunt, transjugular intrahepatic /
- ultrasonography /
- stents

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参考文献(14)

[1] QIAO JR. Effect of transjugular intrahepatic portosystemic shunt on the prevention of portal hypertension complicated with gastroesophageal variceal hemorrhage in patients with cirrhosis[J]. J Chengdu Med Coll, 2017, 12 (6) :685-689. (in Chinese) 乔江蓉.经颈内静脉肝内门体静脉分流术预防肝硬化门静脉高压合并食管胃底静脉曲张破裂出血的效果研究[J].成都医学院学报, 2017, 12 (6) :685-689.

[2] NIU M, SUN J, XU K, et al. Retrospects and prospects of transjugular intrahepatic portosystemic shunt in China[J]. J Clin Hepatol, 2016, 32 (2) :230-233. (in Chinese) 牛猛, 孙骏, 徐克, 等.经颈静脉肝内门体分流术应用的回顾与展望[J].临床肝胆病杂志, 2016, 32 (2) :230-233.

[3] LIANG YP, TANG YM, YANG JH, et al. Transjugular intrahepatic portosystemic shunt dysfunction[J]. World Chin J Dig, 2013, 21 (4) :336-340. (in Chinese) 梁艳平, 唐映梅, 杨晋辉, 等. TIPS术后支架功能障碍的研究现状[J].世界华人消化杂志, 2013, 21 (4) :336-340.

[4] ZHENG SH. Value of advanced dynamic flow imaging in evaluating new vessels in carotid plaque[J]. J Shantou Univ Med Coll, 2016, 29 (4) :226-227. (in Chinese) 郑少花.高级动态血流成像技术对颈动脉斑块新生血管的检测价值[J].汕头大学医学院学报, 2016, 29 (4) :226-227.

[5] ZHAO ZX, LI JH, SU HZ, et al. Comparison of the concordance of two methods for the detection of anti-HCV[J]. Hainan Med J, 2017, 28 (6) :928-930. (in Chinese) 赵子贤, 李娟红, 苏宏钊, 等.两种方法检测丙型肝炎病毒抗体的一致性比较[J].海南医学, 2017, 28 (6) :928-930.

[6] SUN Y, REN TS, ZHAO QC. Analysis of drug use in 537 patients with decompensated liver cirrhosis[J]. Trauma Crit Med, 2016, 4 (4) :229-235. (in Chinese) 孙滢, 任天舒, 赵庆春.肝硬化失代偿期537例患者用药分析[J].创伤与急危重病医学, 2016, 4 (4) :229-235.

[7] LU CY, TANG SS. Evaluation of stent function after transjugular intrahepatic portosystemic shunt using color Doppler and contrast—enhanced ultrasound[J]. J Clin Hepatol, 2017, 33 (5) :959-962. (in Chinese) 卢春雨, 唐少珊.彩色多普勒超声与超声造影对经颈静脉肝内门体分流术后支架功能的评价作用[J].临床肝胆病杂志, 2017, 33 (5) :959-962.

[8] HAN H, YANG J, ZHUGE YZ, et a I. Diagnostic value of color Doppler ultrasonography in detecting transjugular intrahepatic portosystemic shunt dysfunction[J]. J Clin Ultrasound Med, 2015, 17 (8) :522-525. (in Chinese) 韩浩, 杨建, 诸葛宇征, 等.彩色多普勒超声对经颈静脉肝内门体分流术后支架功能障碍的诊断价值[J].临床超声医学杂志, 2015, 17 (8) :522-525.

[9] DENG D, LIAO MS, LI SS, et al. Significance of detecting portal branch flow direction changing after transjugular intrahepatic portosystem stent shunt[J]. Chin J Ultrasound Med, 2005, 21 (9) :679-681. (in Chinese) 邓旦, 廖明松, 李树森, 等.经颈静脉肝内-门体静脉分流术后肝内门脉分支血流方向改变的意义[J].中国超声医学杂志, 2005, 21 (9) :679-681.

[10] HELING KS, CHAOUI R, BOLLMANN R. Advanced dynamic flow—a new method of vascular imaging in prenatal medicine. A pilot study of its applicability[J]. Ultraschall in Med, 2004, 25 (4) :280-284.

[11] MICOL C, MARSOT J, BOUBLAY N, et al. Contrast-enhanced ultrasound:A new method for TIPS follow-up[J]. Abdom Imaging, 2012, 37 (2) :252-260.

[12] CHARLOTTE, NICOLAS, AMLIE, et al. Evaluation of Doppler-ultrasonography in the diagnosis of transjugular intrahepatic portosystemic shunt dysfunction:A prospective study[J]. World J Hepatol, 2017, 9 (27) :1125-1132.

[13] LI JW, LING WW, YANG LL, et al. Application value of contrast-enhanced ultrasonography in monitoring the stent patency after transjugular intrahepatic portosystemic shunt[J/CD]. Chin J Digest Med Imageol:Electronic Edition, 2014, 4 (1) :5-8. (in Chinese) 李加伍, 凌文武, 杨蕗璐, 等.超声造影在经颈静脉肝内门体支架分流术后支架管通畅性监测中的应用价值[J/CD].中华消化病与影像杂志:电子版, 2014, 4 (1) :5-8.

[14] CAO JY, JIN Z. Advances in contrast-enhanced ultrasound applied research[J]. Clin J Med Offic, 2017, 45 (5) :441-448. (in Chinese) 曹军英, 金壮.超声造影应用研究进展[J].临床军医杂志, 2017, 45 (5) :441-448.

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