查詢結果分析
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題 名 | Portal Vein Velocity by Duplex Doppler Ultransound as an Indication of the Clinical Severity of Portal Hypertension=都卜勒超音波測得之門靜脈血流速率為門靜脈高血壓臨床嚴重性之指標 |
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作 者 | 郭仲煌; 張簡吉幸; 戴達英; 陳志州; | 書刊名 | 長庚醫學 |
卷 期 | 18:3 1995.09[民84.09] |
頁 次 | 頁217-223 |
分類號 | 416.13 |
關鍵詞 | 門靜脈高血壓; 都卜勒超音波; 肝硬化; 門靜脈血流速率; Portal hypertension; Duplex doppler ultrasound; Liver cirrhosis; Portal vein velocity; |
語 文 | 英文(English) |
中文摘要 | 為了解經由都卜勒超音波所測得之門靜脈血流速率和臨床上門靜脈高血壓之嚴重度關係,我們從民國八十年一月到八十一年六月間,共有143例肝硬化病人接受都卜勒超音波檢查,其中包括104位男性和39位女性病人,平均年齡為52歲(年齡分佈:26~76歲)。乙型肝炎表面抗原陽性者有77例,陰性者31例及以及酒精性肝硬化患者35例,每一患者皆接受上消化道胃鏡檢查,並以食道靜脈瘤之位置,形狀常小及其長面之有無紅色表徵,有無胃賁門靜脈瘤來分析門靜脈血流之變化。 結果發現在有較粗大之食道靜脈,胃賁門靜脈瘤,合併有紅色表徵之食道靜脈者,有道炎及充血性胃病變者,其最大門靜脈血流速率有明顯之降低。在合併有食道靜脈瘤破裂出血或上消化道出血之肝硬化病人,其最大門靜脈血流速率會有顯著的降低。在合併有嚴重或困難治療之腹水患者,其最大門靜脈血流速率比無腹水或少量腹水者顯著降低。在嚴重程度之肝硬化病人及死亡之病人,其最大門靜脈血流速率比輕度程度病人或存活之病人明顯降低。若我們把最大門靜脈血流速率定在15cm/sec以下的話,我們在預估有大量腹水,嚴重度靜脈瘤,Child C群和死亡率則有67.8%,62.2%,67.8%,73.5%之正確率。 因此我們認為使用都卜勒超音波來檢測門靜脈血流速率,可以反應出臨床上門脈高血壓之嚴重程度,並可當作肝硬化病人病情預後之指標。 |
英文摘要 | The portal vein (PV) velocity was measured by duplex Doppler ultrasound to predict the severity of portal hypertension. A total of 143 patients with liver cirrhosis were studied from January 1991 to June 1992. There were 104 males and 39 females with a mean age of 52 years old (range 23-76). The maximal PV velocity was significantly lower in patients with moderate and severe varices, cardiac varices, red-color signs on varix, esophagitis and congestive gastopathy. The patients with bleeding esophageal varices or upper gastrointestinal tract were found to have a significantly lower maximal PV velocity. Comparing patients without ascites or victims with controllable ascites, those with massive or intractable ascites had significantly lower maximal PV velocity. The maximal PV velocity in Child’s C or mortality cases was also significantly lower than that in Child’s A, Child’s B and surviving cases. If we set the cut off value of PV velocity at 15 cm/sec, we could get the accuracy of 67.8%, 62.2%, 67.8% and 73.5% in the prediction of massive ascites, varices severity, Child C class and mortality respectively. In conclusion, PV velocity may reflect the severity of clinical portal hypertension in cirrhotic patients; it could be a prognostic factor in cirrhotic patients. |
本系統中英文摘要資訊取自各篇刊載內容。