摘要
目的应用彩超检测肝血流动力学替代吲哚菁绿代谢试验。研究肝硬化肝固有动脉阻力指数(resistance index,RI)、门静脉充血指数(congestion index,CI)、门静脉血流量(quantity of portal venous,QPV)与肝储备功能的关系。方法2015年12月至2019年1月,120例肝硬化患者,按肝功能Child-Pugh分级分为A、B、C级,健康对照组40例。彩超检测肝固有动脉RI、CI、QPV与吲哚菁绿15 min滞留率(indocyanine green at 15 min,ICGR15)对照。结果RI、CI、QPV与ICGR15评价肝储备功能一致,Child-Pugh评分与RI、CI、QPV、ICGR15呈正相关。结论RI、CI、QPV准确评价肝储备功能,是替代Child-Pugh分级、吲哚菁绿简便易行方法。
Objective To study the correlation among resistance index of proper hepatic artery(RI),congestion index(CI),quantity of portal venous(QPV)and hepatic function reserve among patients with hepatic cirrhosis during different pathological stages.Methods 120 cases of hepatic cirrhosis were examined as study subjects,who were divided into Levels A B and C according to Child-Pugh with healthy subjects chosen as control group.Color Doppler ultrasonography and ICGR15.were applied to test RI,CI and QPV.Results The results showed that there were positively correlations among RI,CI,as well as QPV with ICGR15 in patients with cirrhosis.Base on the Child-Pugh score to evaluate hepatic function,RI,CI,QPV,and ICGR15 were positively correlated with Child-Pugh scores.Conclusion RI,CI and QPV are simple and easy methods to evaluate liver reserve function instead of child Pugh classification and indocyanine green.
作者
韩志钧
韩柠泽
闫伟
马金彤
HAN Zhijun;HAN Ningze;YAN Wei;MA Jintong(Department of Function, Infectious Disease Hospital of Baoding, Baoding 071000, China;Baoding Branch, Beijing Children's Hospital, Baoding 071000, China;Operation Room, Maternal and Child Health Hospital of Baoding, Baoding 071000, China)
出处
《医学研究与教育》
CAS
2019年第6期28-31,共4页
Medical Research and Education
关键词
彩色多普勒
肝血流动力学
肝储备功能
color doppler ultrasonography
hepatic hemodynamics
hepatic function reserve
