發(fā)布時間：2018-03-04 00:05

  本文選題：超聲檢查　切入點：胸導管　出處：《中國超聲醫(yī)學雜志》2017年09期 　論文類型：期刊論文

【摘要】：目的應用超聲測量肝硬化患者頸段胸導管內徑,評估不同類型肝硬化患者胸導管內徑的差異及意義。方法選取我院臨床確診為慢性肝病肝硬化患者163例,其中慢性乙型肝炎肝硬化(CHB)患者61例,慢性丙型肝炎肝硬化(CHC)患者32例,酒精性肝硬化(AC)患者42例,自身免疫性肝炎肝硬化(AHC)患者28例。同期選取65例健康志愿者作為對照組。應用高頻超聲測量頸段胸導管內徑(CTDd),比較各組CTDd的差異。結果 CHB、CHC、AC、AHC組頸段胸導管超聲顯示率分別為97%、100%、100%、89%,健康對照組顯示率為89%,顯示率差異無統(tǒng)計學意義(P0.05)。健康對照組的CTDd測值最小,為(2.11±0.58)mm;AHC組、CHB組、CHC組AC組CTDd測值分別為(3.96±1.31)mm、(4.49±1.31)mm、(4.62±1.56)mm、(6.07±2.60)mm,較對照組均明顯增寬,差異有統(tǒng)計學意義(P0.000);AHC組、CHB組、CHC組各組間差異無統(tǒng)計學意義(P0.05);AC組CTDd測值較AHC組、CHB組、CHC組增寬,差異有統(tǒng)計學意義(P0.01)。結論肝硬化患者胸導管內徑較正常人明顯增寬,不同病因導致增寬程度有所差別。
[Abstract]:Objective to measure the inner diameter of cervical thoracic ducts in patients with liver cirrhosis and to evaluate the difference and significance of the diameter of thoracic ducts in patients with different types of cirrhosis. Methods 163 patients with chronic liver cirrhosis were selected in our hospital. There were 61 patients with chronic hepatitis B cirrhosis, 32 patients with chronic hepatitis C cirrhosis and 42 patients with alcoholic cirrhosis. Twenty-eight patients with autoimmune hepatitis cirrhosis (CTDd) and 65 healthy volunteers (control group) were selected as control group. High frequency ultrasound was used to measure the inner diameter of cervical thoracic duct and compare the difference of CTDd in each group. The display rates were 97% and 100%, respectively. The display rate of the healthy control group was 89 and the difference was not statistically significant (P 0.05). The CTDd of the healthy control group was the smallest. The CTDd values of AC group in CHC group were 3.96 鹵1.31 鹵1.31 mm, respectively, which were significantly wider than those in control group (4.62 鹵1.56 鹵1.56). The difference was not statistically significant (P 0.000). There was no significant difference between the two groups. The CTDd value of AC group was significantly wider than that of AHC group (P < 0.05), and the value of CTDd in AC group was significantly wider than that in AHC group (P < 0.05), which was significantly higher than that in control group (P < 0.05). Conclusion the inner diameter of thoracic ducts in patients with liver cirrhosis is significantly wider than that in normal subjects, and the extent of enlargement is different in different etiology.
【作者單位】： 首都醫(yī)科大學附屬北京世紀壇醫(yī)院超聲科(北京大學第九臨床醫(yī)學院);
【基金】：首都衛(wèi)生發(fā)展科研專項青年項目(No.2014QN158) 首都醫(yī)科大學附屬北京世紀壇醫(yī)院“無栓、無血、無痛醫(yī)院”臨床專項基金(No.2015-SW07) 北京市科委首都臨床特色應用研究(No.Z171100001017043)
【分類號】：R445.1;R575.2

【相似文獻】

相關期刊論文 前10條

1 王懷經(jīng),李人光,欒銘箴,宋景祁;國人胸導管形態(tài)結構的觀察[J];山東醫(yī)學院學報;1981年02期

2 謝群;蘇慧杰;;胸導管的形態(tài)學觀察及自身比例研究[J];內蒙古醫(yī)學雜志;1987年01期

3 王慶全;;胸導管囊腫的針吸診斷[J];國外醫(yī)學(臨床放射學分冊);1987年06期

4 王耀鵬,戴洪海,胡國強;胸導管造影術二例分析[J];放射學實踐;2003年05期

5 周汝元;胸導管的淋巴造影——一種增強顯影的新技術[J];安醫(yī)學報;1978年06期

6 李黔生;陳昭頡;韋燕燕;;腎移植術前后胸導管淋巴引流患者的護理[J];中華護理雜志;1986年05期

7 張蓮芳;;胸導管頸內靜脈吻合術的護理[J];中國實用護理雜志;1986年11期

8 匡天濤;多器官功能不全綜合征病人胸導管淋巴液特性[J];國外醫(yī)學(創(chuàng)傷與外科基本問題分冊);1997年04期

9 李緯;縱隔的胸導管囊腫[J];國外醫(yī)學(臨床放射學分冊);1981年05期

10 朱兆川;;胸導管引流術[J];寧夏醫(yī)學雜志;1990年03期

相關會議論文 前2條

1 劉勇;王螢螢;趙曉寧;;頸段胸導管的高頻超聲檢測方法的建立及其意義[A];中華醫(yī)學會第十三次全國超聲醫(yī)學學術會議論文匯編[C];2013年

2 余春華;李俊英;符琰;;1例肺癌患者PICC導管誤入胸導管的護理[A];中華護理學會全國腫瘤護理學術交流暨專題講座會議論文匯編[C];2009年

相關碩士學位論文 前1條

1 陳朔;磁共振水成像技術顯示胸導管的研究[D];南方醫(yī)科大學;2011年

，

本文編號：1563261