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目的 探讨彩色多普勒血流显像 (CDFI)对肝硬化的诊断价值。方法 用CDFI和放免法分别测定 80例肝硬化患者和 30例正常对照者门静脉血流和肝纤维化指标。结果 肝硬化组门静脉血流动力学指标均高于正常对照组 (P <0 0 5 ) ,并随着肝功能ChildPugh分级严重程度增加而下降 ;活动性肝硬化肝纤维化指标明显高于静止性肝硬化 (P <0 0 5～ 0 0 1) ;CDFI与血清学检查判断肝硬化的符合率大致相同。结论 彩色多普勒血流显像能判断肝硬化损害的程度
Objective To investigate the diagnostic value of color Doppler flow imaging (CDFI) for cirrhosis. Methods CDFI and radioimmunoassay were used to determine portal vein blood flow and hepatic fibrosis in 80 patients with cirrhosis and 30 normal controls respectively. Results The portal hemodynamics of cirrhotic patients was higher than that of normal controls (P <0.05), and decreased with the increase of ChildPugh grade of liver function. The index of hepatic fibrosis of active cirrhosis was significantly higher than that of rest Liver cirrhosis (P <0 05 ~ 0 0 1); CDFI and serological tests to determine the coincidence rate of cirrhosis is roughly the same. Conclusion Color Doppler flow imaging can determine the degree of cirrhosis damage