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目的:探讨急性病毒性肝炎患者采用彩色多普勒超声检测的诊断价值,以及对肝胆系统变化意义。方法:选取我院2015年1月-2017年1月急性病毒性肝炎51例为研究组,另选同期健康体检者57例为对照组。两组均予以彩色多普勒超声检查。对比两组检查指标差异。结果:研究组中,脾脏厚度为(3.87±0.51)mm、胆囊厚度为(0.43±0.39)mm,均显著大于对照组,P<0.01;胆囊长径为(4.22±0.78)cm、厚径为(1.31±0.65)cm,均明显小于对照组,P<0.01。研究组中,脾门静脉血流速度为(23.05±5.79)cm/s、脾静脉为(16.27±3.81)cm/s、肠系膜上静脉为(18.65±5.23)cm/s,均显著高于对照组,P<0.01。结论:彩色多普勒超声应用于急性病毒性肝炎临床检测中,对脾脏、胆囊大小以及门脉系统血流速度均具有良好特异性,诊断价值显著,值得临床推广应用。
Objective: To investigate the diagnostic value of color Doppler ultrasonography in patients with acute viral hepatitis and the significance of changes in the hepatobiliary system. Methods: Fifty-one cases of acute viral hepatitis in our hospital from January 2015 to January 2017 were selected as the study group, and 57 cases of the same period healthy subjects were selected as the control group. Both groups were color Doppler ultrasound. Comparison of two groups of indicators of differences. Results: In the study group, the thickness of the spleen was (3.87 ± 0.51) mm and the thickness of the gallbladder was (0.43 ± 0.39) mm, both of which were significantly larger than those of the control group (P <0.01). The length of the gallbladder was (4.22 ± 0.78) (1.31 ± 0.65) cm, which were significantly lower than those in the control group (P <0.01). In the study group, the portal vein blood flow velocity was (23.05 ± 5.79) cm / s, splenic vein was (16.27 ± 3.81) cm / s and superior mesenteric vein was (18.65 ± 5.23) cm / s, , P <0.01. Conclusion: The application of color Doppler ultrasonography in the clinical detection of acute viral hepatitis has good specificity for spleen, gallbladder size and portal blood flow velocity, and its diagnostic value is significant. It is worthy of clinical application.